| Dental Associates Of Middle Georgia, Llc | |
|
123 Gralan Dr Byron GA 31008-6344 | |
| (478) 956-4278 | |
| (478) 956-4278 |
| Full Name | Dental Associates Of Middle Georgia, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 123 Gralan Dr, Byron, Georgia |
| Authorized Official Name and Position | Stephan Franklin Holcomb (PRESIDENT) |
| Authorized Official Contact | 4789564278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Associates Of Middle Georgia, Llc 123 Gralan Dr Byron GA 31008-6344 Ph: (478) 956-4278 | Dental Associates Of Middle Georgia, Llc 123 Gralan Dr Byron GA 31008-6344 Ph: (478) 956-4278 |
| NPI Number | 1922357425 |
|---|---|
| Provider Enumeration Date | 08/30/2012 |
| Last Update Date | 08/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922357425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 008277 (Georgia) | Primary |
Beautiful Smiles Of Byron Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Gralan Dr, Byron, GA 31008 Phone: 478-956-4278 | |
Byron Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6005 Watson Blvd Suite 200, Byron, GA 31008 Phone: 478-217-4952 | |
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