| Jeff Davis Dental, Llc | |
|
265 N Jeff Davis Dr Suite #1 Fayetteville GA 30214-1625 | |
| (678) 817-5900 | |
| Not Available |
| Full Name | Jeff Davis Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 265 N Jeff Davis Dr, Fayetteville, Georgia |
| Authorized Official Name and Position | Thomas Williams (OWNER) |
| Authorized Official Contact | 6788175900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff Davis Dental, Llc 265 N Jeff Davis Dr Suite #1 Fayetteville GA 30214-1625 Ph: () - | Jeff Davis Dental, Llc 265 N Jeff Davis Dr Suite #1 Fayetteville GA 30214-1625 Ph: (678) 817-5900 |
| NPI Number | 1043348345 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043348345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8464 (Georgia) | Primary |
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