| R L White Jr., Dds & Associates, Pc | |
|
168 Nw Broad St Fairburn GA 30213-1436 | |
| (770) 964-1545 | |
| (770) 964-1031 |
| Full Name | R L White Jr., Dds & Associates, Pc |
|---|---|
| Speciality | Dentist |
| Location | 168 Nw Broad St, Fairburn, Georgia |
| Authorized Official Name and Position | Robert Lee White (PRESIDENT) |
| Authorized Official Contact | 7709641545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R L White Jr., Dds & Associates, Pc 168 Nw Broad St Fairburn GA 30213-1436 Ph: (770) 964-1545 | R L White Jr., Dds & Associates, Pc 168 Nw Broad St Fairburn GA 30213-1436 Ph: (770) 964-1545 |
| NPI Number | 1801046297 |
|---|---|
| Provider Enumeration Date | 09/23/2008 |
| Last Update Date | 09/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801046297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DNO12581 (Georgia) | Primary |
Smile Studio Kids Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5390 Campbellton Fairburn Rd, Fairburn, GA 30213 Phone: 770-884-7750 |