| Loynes Dental Care, Llc | |
|
1196 Pine Grove Rd Tallapoosa GA 30176-3137 | |
| (770) 574-2812 | |
| (770) 574-5020 |
| Full Name | Loynes Dental Care, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1196 Pine Grove Rd, Tallapoosa, Georgia |
| Authorized Official Name and Position | Murgesh J Loynes (OWNER) |
| Authorized Official Contact | 7705742812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loynes Dental Care, Llc 1196 Pine Grove Rd P O Box 275 Tallapoosa GA 30176-3137 Ph: (770) 574-2812 | Loynes Dental Care, Llc 1196 Pine Grove Rd Tallapoosa GA 30176-3137 Ph: (770) 574-2812 |
| NPI Number | 1205246493 |
|---|---|
| Provider Enumeration Date | 04/28/2014 |
| Last Update Date | 04/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205246493 | NPI | - | NPPES |
| 003134346B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |