| Claxton Family Dentistry Llc | |
| 
					209 W Liberty St Claxton GA 30417-1911  | |
| (912) 732-1011 | |
| Not Available | 
| Full Name | Claxton Family Dentistry Llc | 
|---|---|
| Speciality | Dentist | 
| Location | 209 W Liberty St, Claxton, Georgia | 
| Authorized Official Name and Position | Zackary L. Bentley (OWNER) | 
| Authorized Official Contact | 9125576307 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Claxton Family Dentistry Llc 209 W Liberty St Claxton GA 30417-1911 Ph: (912) 732-1011  | Claxton Family Dentistry Llc 209 W Liberty St Claxton GA 30417-1911 Ph: (912) 732-1011  | 
| NPI Number | 1992357156 | 
|---|---|
| Provider Enumeration Date | 07/09/2019 | 
| Last Update Date | 07/09/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992357156 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary | 
Claxton Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Long St, Claxton, GA 30417 Phone: 912-739-1595  |