| Georgia Dental Associates Of Tifton | |
|
315 14th St E Tifton GA 31794-4018 | |
| (229) 313-5083 | |
| Not Available |
| Full Name | Georgia Dental Associates Of Tifton |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 315 14th St E, Tifton, Georgia |
| Authorized Official Name and Position | Nettie S Hatcher (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2298482685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Dental Associates Of Tifton 315 14th St E Tifton GA 31794-4018 Ph: (229) 313-5083 | Georgia Dental Associates Of Tifton 315 14th St E Tifton GA 31794-4018 Ph: (229) 313-5083 |
| NPI Number | 1619516002 |
|---|---|
| Provider Enumeration Date | 01/02/2020 |
| Last Update Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619516002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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