| Renew Dental, Inc | |
|
157 Hodges St Cornelia GA 30531-3295 | |
| (706) 894-1919 | |
| (706) 894-1925 |
| Full Name | Renew Dental, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 157 Hodges St, Cornelia, Georgia |
| Authorized Official Name and Position | Donald Cantrell (PRESIDENT) |
| Authorized Official Contact | 7067687269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Dental, Inc Po Box 459 Cornelia GA 30531-1006 Ph: (706) 894-1919 | Renew Dental, Inc 157 Hodges St Cornelia GA 30531-3295 Ph: (706) 894-1919 |
| NPI Number | 1003522632 |
|---|---|
| Provider Enumeration Date | 01/26/2023 |
| Last Update Date | 01/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003522632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Cornelia Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Highland Ave, Cornelia, GA 30531 Phone: 706-778-8645 Fax: 706-776-2650 | |
Cornelia Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Highland Ave, Cornelia, GA 30531 Phone: 706-778-8645 Fax: 706-776-2650 |