Lanier Dental Group, Inc | |
5458 S Chestatee Dahlonega GA 30533 | |
(706) 864-9800 | |
(706) 864-9801 |
Full Name | Lanier Dental Group, Inc |
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Speciality | Clinic/center - Dental |
Location | 5458 S Chestatee, Dahlonega, Georgia |
Authorized Official Name and Position | Michael David Witcher (DENTIST) |
Authorized Official Contact | 7703319480 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lanier Dental Group, Inc 5458 S Chestatee Dahlonega GA 30533 Ph: (706) 864-9800 | Lanier Dental Group, Inc 5458 S Chestatee Dahlonega GA 30533 Ph: (706) 864-9800 |
NPI Number | 1609286574 |
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Provider Enumeration Date | 05/01/2014 |
Last Update Date | 05/01/2014 |
Identifier | Type | State | Issuer |
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1609286574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DN009608 (Georgia) | Primary |
Live Oak Dental Health Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5458 S Chestatee, Dahlonega, GA 30533 Phone: 706-864-9800 |