| Lake Oconee Oral And Maxillofacial Surgery, P.c. | |
|
1031 Founders Row Greensboro GA 30642 | |
| (706) 454-1500 | |
| (706) 454-1501 |
| Full Name | Lake Oconee Oral And Maxillofacial Surgery, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1031 Founders Row, Greensboro, Georgia |
| Authorized Official Name and Position | David Clay Miller (PRESIDENT) |
| Authorized Official Contact | 7064541500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Oconee Oral And Maxillofacial Surgery, P.c. 1031 Founders Row Greensboro GA 30642 Ph: (706) 454-1500 | Lake Oconee Oral And Maxillofacial Surgery, P.c. 1031 Founders Row Greensboro GA 30642 Ph: (706) 454-1500 |
| NPI Number | 1154681195 |
|---|---|
| Provider Enumeration Date | 05/24/2012 |
| Last Update Date | 06/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154681195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN012341 (Georgia) | Primary |
Lakeside Pediatric Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Parkside Cmns, Suite 103, Greensboro, GA 30642 Phone: 706-454-2222 Fax: 706-454-1234 | |
Lake Oconee Smile Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Parkside Commons, Suite 103, Greensboro, GA 30642 Phone: 706-454-2222 Fax: 706-454-1234 | |
Georgia Dental Alliance Of Greensboro Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Cowles Clinc Way Ste W-200, Greensboro, GA 30642 Phone: 706-454-0044 | |
Lake Oconee Endodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Parkside Cmns Ste 103, Greensboro, GA 30642 Phone: 706-484-9844 Fax: 706-484-9846 |