| Hickory Flat Orthodontics, Pc | |
|
6488 Hickory Flat Hwy Canton GA 30115-7235 | |
| (770) 720-8138 | |
| (770) 720-7580 |
| Full Name | Hickory Flat Orthodontics, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6488 Hickory Flat Hwy, Canton, Georgia |
| Authorized Official Name and Position | Carl M. Russell (PRESIDENT) |
| Authorized Official Contact | 7707208138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hickory Flat Orthodontics, Pc 6488 Hickory Flat Hwy Canton GA 30115-7235 Ph: (770) 720-8138 | Hickory Flat Orthodontics, Pc 6488 Hickory Flat Hwy Canton GA 30115-7235 Ph: (770) 720-8138 |
| NPI Number | 1952520751 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952520751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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