| Pbt Dental Llc | |
|
590 S Enota Dr Ne Ste 2 Gainesville GA 30501-2433 | |
| (770) 536-4471 | |
| (770) 534-2174 |
| Full Name | Pbt Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 590 S Enota Dr Ne Ste 2, Gainesville, Georgia |
| Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 9419553150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pbt Dental Llc 590 S Enota Dr Ne Ste 2 Gainesville GA 30501-2433 Ph: () - | Pbt Dental Llc 590 S Enota Dr Ne Ste 2 Gainesville GA 30501-2433 Ph: (770) 536-4471 |
| NPI Number | 1366916744 |
|---|---|
| Provider Enumeration Date | 01/18/2019 |
| Last Update Date | 01/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366916744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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