| Foundations Orthodontics LLC | |
|
317 Redmond Rd Nw Rome GA 30165-1539 | |
| (706) 291-2901 | |
| Not Available |
| Full Name | Foundations Orthodontics LLC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 317 Redmond Rd Nw, Rome, Georgia |
| Authorized Official Name and Position | William Bennett (ORTHODONTIST) |
| Authorized Official Contact | 7062849600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Orthodontics LLC Po Box 88 Rome GA 30162-0088 | Foundations Orthodontics LLC 317 Redmond Rd Nw Rome GA 30165-1539 Ph: (706) 291-2901 |
| NPI Number | 1790143899 |
|---|---|
| Provider Enumeration Date | 02/03/2016 |
| Last Update Date | 02/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790143899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Primary |
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