| Coosa Dental Associates, Llc | |
| 
					109 East Ave Cedartown GA 30125-2921  | |
| (770) 748-7736 | |
| (770) 748-4015 | 
| Full Name | Coosa Dental Associates, Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 109 East Ave, Cedartown, Georgia | 
| Authorized Official Name and Position | David Bradford Gandy (DENTIST) | 
| Authorized Official Contact | 7707487736 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Coosa Dental Associates, Llc 109 East Ave Cedartown GA 30125-2921 Ph: (770) 748-7736  | Coosa Dental Associates, Llc 109 East Ave Cedartown GA 30125-2921 Ph: (770) 748-7736  | 
| NPI Number | 1326258351 | 
|---|---|
| Provider Enumeration Date | 05/22/2007 | 
| Last Update Date | 11/19/2007 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326258351 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN010447 (Georgia) | Primary | 
Coosa Dental Sleep Therapy Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 East Ave, Cedartown, GA 30125 Phone: 770-748-7736  | |
Gerald D Palatini, Jr., Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Plantation Ave Ste A, Cedartown, GA 30125 Phone: 770-748-2622 Fax: 770-749-1976  | |
Cedartown Dentistry P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 East Ave, Cedartown, GA 30125 Phone: 404-617-0264  |