| Emerald Dental, LLC | |
|
4429 Washington Rd Evans GA 30809-6370 | |
| (706) 395-9031 | |
| Not Available |
| Full Name | Emerald Dental, LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4429 Washington Rd, Evans, Georgia |
| Authorized Official Name and Position | Marianne Tilton (PROVIDER ENROLLMENT SUPERVISOR) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Dental, LLC Po Box 70887 Cleveland OH 44190-0887 | Emerald Dental, LLC 4429 Washington Rd Evans GA 30809-6370 Ph: (706) 395-9031 |
| NPI Number | 1568377455 |
|---|---|
| Provider Enumeration Date | 08/17/2026 |
| Last Update Date | 08/17/2026 |
| Certification Date | 08/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568377455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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