| Screven Dental | |
| 
					112 Clifford Ave Sylvania GA 30467-2012  | |
| (912) 564-7107 | |
| (912) 564-9349 | 
| Full Name | Screven Dental | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 112 Clifford Ave, Sylvania, Georgia | 
| Authorized Official Name and Position | Maria Martinson (DENTIST) | 
| Authorized Official Contact | 9125647107 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Screven Dental 112 Clifford Ave Sylvania GA 30467-2012 Ph: (912) 564-7107  | Screven Dental 112 Clifford Ave Sylvania GA 30467-2012 Ph: (912) 564-7107  | 
| NPI Number | 1821501040 | 
|---|---|
| Provider Enumeration Date | 11/09/2017 | 
| Last Update Date | 11/09/2017 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821501040 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
Clifford Avenue Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Clifford Ave, Sylvania, GA 30467 Phone: 912-564-7107 Fax: 912-564-9349  |