| Dentrust, P.c. | |
|
112 Vilseck Rd Ft.stewart GA 31315 | |
| (267) 927-5000 | |
| Not Available |
| Full Name | Dentrust, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 112 Vilseck Rd, Ft.stewart, Georgia |
| Authorized Official Name and Position | Amanda Anne Clark (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 2679275000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentrust, P.c. 1221 Vinewood Dr Seffner FL 33584-4829 Ph: (813) 451-4503 | Dentrust, P.c. 112 Vilseck Rd Ft.stewart GA 31315 Ph: (267) 927-5000 |
| NPI Number | 1932876950 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 08/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932876950 | NPI | - | NPPES |
| DN014535 | Other | GA | DR.CAPLIN'S LIC GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |