| Dental Town Emergency Services Llc | |
|
2020 Cumming Hwy Ste 100 Canton GA 30115-8071 | |
| (770) 741-0439 | |
| Not Available |
| Full Name | Dental Town Emergency Services Llc |
|---|---|
| Speciality | Dentist |
| Location | 2020 Cumming Hwy Ste 100, Canton, Georgia |
| Authorized Official Name and Position | Jo Ann Rice (CREDENTIALING & ENROLLMENT DIRECTOR) |
| Authorized Official Contact | 4708818679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Town Emergency Services Llc 2970 Brandywine Rd Ste 200 Atlanta GA 30341-5549 Ph: (770) 692-1000 | Dental Town Emergency Services Llc 2020 Cumming Hwy Ste 100 Canton GA 30115-8071 Ph: (770) 741-0439 |
| NPI Number | 1174491187 |
|---|---|
| Provider Enumeration Date | 10/29/2025 |
| Last Update Date | 10/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174491187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Primary |
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