| Carrollton Family Dentistry | |
|
101 Clinic Ave Carrollton GA 30117-4413 | |
| (770) 832-1376 | |
| Not Available |
| Full Name | Carrollton Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Clinic Ave, Carrollton, Georgia |
| Authorized Official Name and Position | Patricia Sims (OFFICE MANAGER) |
| Authorized Official Contact | 7704392550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrollton Family Dentistry 126 Enterprise Path Suite #106 Hiram GA 30141 Ph: (770) 832-1376 | Carrollton Family Dentistry 101 Clinic Ave Carrollton GA 30117-4413 Ph: (770) 832-1376 |
| NPI Number | 1003968496 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 10/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003968496 | NPI | - | NPPES |
| 044992718D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012710 (Georgia) | Primary |
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