Georgia Dental Professionals, Pc | |
615 Green St Nw Suite 101 Gainesville GA 30501-3378 | |
(770) 532-2336 | |
(770) 536-3905 |
Full Name | Georgia Dental Professionals, Pc |
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Speciality | Dentist - General Practice |
Location | 615 Green St Nw, Gainesville, Georgia |
Authorized Official Name and Position | Leo Wheat (OWNER) |
Authorized Official Contact | 2175402100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Georgia Dental Professionals, Pc 615 Green St Nw Suite 101 Gainesville GA 30501-3378 Ph: (770) 532-2336 | Georgia Dental Professionals, Pc 615 Green St Nw Suite 101 Gainesville GA 30501-3378 Ph: (770) 532-2336 |
NPI Number | 1609998483 |
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Provider Enumeration Date | 04/04/2007 |
Last Update Date | 07/24/2019 |
Identifier | Type | State | Issuer |
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1609998483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 011107 (Georgia) | Primary |
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