| Eaglin Dental Group, Fayetteville | |
|
692 Glynn St N Ste S Fayetteville GA 30214-6705 | |
| (770) 716-2701 | |
| (770) 716-2718 |
| Full Name | Eaglin Dental Group, Fayetteville |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 692 Glynn St N Ste S, Fayetteville, Georgia |
| Authorized Official Name and Position | Tracie Denney (OWNER) |
| Authorized Official Contact | 7707162701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eaglin Dental Group, Fayetteville 692 Glynn St N Ste S Fayetteville GA 30214-6705 Ph: (770) 716-2701 | Eaglin Dental Group, Fayetteville 692 Glynn St N Ste S Fayetteville GA 30214-6705 Ph: (770) 716-2701 |
| NPI Number | 1134405848 |
|---|---|
| Provider Enumeration Date | 10/26/2011 |
| Last Update Date | 05/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134405848 | NPI | - | NPPES |
| 777472578D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN013169 (Georgia) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | DN013169 (Georgia) | Secondary |
Jeff Davis Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 N Jeff Davis Dr, Suite #1, Fayetteville, GA 30214 Phone: 678-817-5900 | |
Fayetteville Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 N Jeff Davis Dr, Suite C, Fayetteville, GA 30214 Phone: 770-651-1000 | |
Haycock Endodontics, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1260 Highway 54 W Ste 201, Fayetteville, GA 30214 Phone: 770-460-1527 | |
Ashford Dental Inc. Ii Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Beckett Ln, Suite 403, Fayetteville, GA 30214 Phone: 770-461-0400 Fax: 770-461-0280 | |
North Georgia Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Pavilion Pkwy, Suite 14, Fayetteville, GA 30214 Phone: 770-716-0111 Fax: 770-716-0105 | |
Eric P. Swinson, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 N Park Dr, Fayetteville, GA 30214 Phone: 770-461-1141 Fax: 770-461-1143 |