| Gordon B Burnett Dds Pc | |
|
1895 Phoenix Blvd Suite 148 College Park GA 30349-5533 | |
| (770) 997-4598 | |
| (770) 997-6944 |
| Full Name | Gordon B Burnett Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1895 Phoenix Blvd, College Park, Georgia |
| Authorized Official Name and Position | Gordon Berry Burnett (DDS PC PRESIDENT) |
| Authorized Official Contact | 7709974598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon B Burnett Dds Pc 1895 Phoenix Blvd Suite 148 College Park GA 30349-5533 Ph: (770) 997-4598 | Gordon B Burnett Dds Pc 1895 Phoenix Blvd Suite 148 College Park GA 30349-5533 Ph: (770) 997-4598 |
| NPI Number | 1881766160 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881766160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN007288 (Georgia) | Primary |
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