| Slate Family Dentistry | |
|
1213 N Main St La Fayette GA 30728-2136 | |
| (706) 638-1114 | |
| Not Available |
| Full Name | Slate Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1213 N Main St, La Fayette, Georgia |
| Authorized Official Name and Position | Tyler Austin Slate (GENERAL DENTIST/PRACTICE OWNER) |
| Authorized Official Contact | 4046449649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Slate Family Dentistry 1213 N Main St La Fayette GA 30728-2136 Ph: (706) 638-1114 | Slate Family Dentistry 1213 N Main St La Fayette GA 30728-2136 Ph: (706) 638-1114 |
| NPI Number | 1205652666 |
|---|---|
| Provider Enumeration Date | 12/02/2024 |
| Last Update Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205652666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Levie Family Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Villanow St, La Fayette, GA 30728 Phone: 706-638-2784 |