| Practice Equity, Llc | |
|
219 Thomas St Suite B Thomaston GA 30286-5452 | |
| (706) 647-5437 | |
| (706) 646-2414 |
| Full Name | Practice Equity, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 219 Thomas St, Thomaston, Georgia |
| Authorized Official Name and Position | Douglas S. Johnson (OWNER) |
| Authorized Official Contact | 7066475437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Practice Equity, Llc 219 Thomas Street Suite B Thomaston GA 30286 Ph: (706) 647-5437 | Practice Equity, Llc 219 Thomas St Suite B Thomaston GA 30286-5452 Ph: (706) 647-5437 |
| NPI Number | 1477724219 |
|---|---|
| Provider Enumeration Date | 03/20/2008 |
| Last Update Date | 03/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477724219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN009559 (Georgia) | Primary |
Dental Professionals Of Georgia, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 W Main St, Thomaston, GA 30286 Phone: 706-647-5575 | |
William B. Gardner, D.m.d. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 W Gordon St, Thomaston, GA 30286 Phone: 706-647-7914 Fax: 706-647-4543 |