| Lakeland Family Dentistry | |
|
33 Hospital Dr Lakeland GA 31635-5716 | |
| (229) 482-1100 | |
| (229) 482-1103 |
| Full Name | Lakeland Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 33 Hospital Dr, Lakeland, Georgia |
| Authorized Official Name and Position | Eric Alan Castor (DENTIST) |
| Authorized Official Contact | 2294821100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Family Dentistry 33 Hospital Dr Lakeland GA 31635-5716 Ph: (229) 482-1100 | Lakeland Family Dentistry 33 Hospital Dr Lakeland GA 31635-5716 Ph: (229) 482-1100 |
| NPI Number | 1912018391 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 06/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912018391 | NPI | - | NPPES |
| 426342256A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN013346 (Georgia) | Primary |