| Dentalwise, Llc | |
| 
					2635 Lee Rd Ste C4 Lithia Springs GA 30122-3356  | |
| (770) 489-9141 | |
| (770) 489-9138 | 
| Full Name | Dentalwise, Llc | 
|---|---|
| Speciality | Dentist | 
| Location | 2635 Lee Rd Ste C4, Lithia Springs, Georgia | 
| Authorized Official Name and Position | Randall Little (OWNER) | 
| Authorized Official Contact | 7708539244 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dentalwise, Llc 2635 Lee Rd Ste C4 Lithia Springs GA 30122-3356 Ph: (770) 489-9141  | Dentalwise, Llc 2635 Lee Rd Ste C4 Lithia Springs GA 30122-3356 Ph: (770) 489-9141  | 
| NPI Number | 1316366271 | 
|---|---|
| Provider Enumeration Date | 04/08/2014 | 
| Last Update Date | 04/08/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316366271 | NPI | - | NPPES | 
| 003141558A | Medicaid | GA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary | 
Bentwater Cosmetic And Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 Thornton Rd Ste 101, Lithia Springs, GA 30122 Phone: 770-944-9755 Fax: 770-944-1261  | |
Lithia Springs Cosmetic And Family Dentistry P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 Thornton Rd Ste 101, Lithia Springs, GA 30122 Phone: 770-944-9755 Fax: 770-944-1261  | |
Atlanta West Orthodontic Care, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1771 Lee Rd, Suite A, Lithia Springs, GA 30122 Phone: 770-739-1111  | |
Atlanta West Periodntics And Dental Implants, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2168 Skyview Dr, Lithia Springs, GA 30122 Phone: 770-739-5097  | |
Atlanta West Periodontics And Dental Implants Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2168 Skyview Drive, Lithia Springs, GA 30122 Phone: 770-739-5097 Fax: 770-739-0517  | |
Claude Daniel Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3507 Veterans Memorial Hwy, Lithia Springs, GA 30122 Phone: 770-948-2900 Fax: 770-948-2193  |