| Cedar Dental Clinical I, Llc | |
|
119 Willow Ln Mcdonough GA 30253-6574 | |
| (678) 432-8505 | |
| (678) 432-9419 |
| Full Name | Cedar Dental Clinical I, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 119 Willow Ln, Mcdonough, Georgia |
| Authorized Official Name and Position | Henry Rankin Dallam (PRESIDENT) |
| Authorized Official Contact | 7703312529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Dental Clinical I, Llc 6801 Governors Lake Pkwy Ste 290 Peachtree Corners GA 30071-1136 Ph: (678) 978-3099 | Cedar Dental Clinical I, Llc 119 Willow Ln Mcdonough GA 30253-6574 Ph: (678) 432-8505 |
| NPI Number | 1003423039 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 09/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003423039 | NPI | - | NPPES |
| DN013071 | Other | GA | GA DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Bright Smiles Orthodontics And Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 Pavilion Ct, Mcdonough, GA 30253 Phone: 678-583-8536 Fax: 678-583-8657 | |
G.r. Foster Iii D.m.d. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 153 Decatur Rd, Mcdonough, GA 30253 Phone: 770-957-2923 Fax: 770-957-2924 | |
Westridge Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2140 Highway 20 W, Mcdonough, GA 30253 Phone: 470-419-2107 | |
Aspen Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1430 Highway 20 W, Mcdonough, GA 30253 Phone: 678-537-6000 | |
Orthodontic Excellence Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Mcdonough Pkwy, Mcdonough, GA 30253 Phone: 770-914-2808 | |
Gofs Mcdonough Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Westridge Industrial Blvd, Suite 303, Mcdonough, GA 30253 Phone: 678-304-6494 |