| Jack F Bickford, Dds, Pc | |
|
3036 Atlanta Hwy Dallas GA 30132-5723 | |
| (770) 445-6606 | |
| (770) 443-1270 |
| Full Name | Jack F Bickford, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3036 Atlanta Hwy, Dallas, Georgia |
| Authorized Official Name and Position | Jack F Bickford (PRESIDENT) |
| Authorized Official Contact | 7704456606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack F Bickford, Dds, Pc 3036 Atlanta Hwy Dallas GA 30132-5723 Ph: (770) 445-6606 | Jack F Bickford, Dds, Pc 3036 Atlanta Hwy Dallas GA 30132-5723 Ph: (770) 445-6606 |
| NPI Number | 1548359102 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 06/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548359102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012980 (Georgia) | Secondary |
| 1223G0001X | Dentist - General Practice | GA8747 (Georgia) | Primary |
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