| Dental Sleep Medicine Of Athens, Llc | |
|
104 Moores Grove Rd Ste 100 Winterville GA 30683-1506 | |
| (706) 546-8407 | |
| (706) 546-8409 |
| Full Name | Dental Sleep Medicine Of Athens, Llc |
|---|---|
| Speciality | Dentist |
| Location | 104 Moores Grove Rd Ste 100, Winterville, Georgia |
| Authorized Official Name and Position | Phillip H Durden (MEMBER) |
| Authorized Official Contact | 7067404000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Sleep Medicine Of Athens, Llc 104 Moores Grove Rd Ste 100 Winterville GA 30683-1506 Ph: (706) 546-8407 | Dental Sleep Medicine Of Athens, Llc 104 Moores Grove Rd Ste 100 Winterville GA 30683-1506 Ph: (706) 546-8407 |
| NPI Number | 1861883043 |
|---|---|
| Provider Enumeration Date | 02/10/2015 |
| Last Update Date | 05/11/2021 |
| Medicare PECOS PAC ID | 6406163237 |
|---|---|
| Medicare Enrollment ID | O20150911000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861883043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 010580 (Georgia) | Primary |
Winterville Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Moores Grove Rd, Winterville, GA 30683 Phone: 706-742-7000 Fax: 706-742-2145 | |
Phillip H. Durden, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Moores Grove Rd, Winterville, GA 30683 Phone: 706-742-7000 |