| Steele Family Dentistry Llc | |
|
116 Mirramount Lake Dr Woodstock GA 30189-8213 | |
| (770) 592-7000 | |
| (770) 517-7403 |
| Full Name | Steele Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 116 Mirramount Lake Dr, Woodstock, Georgia |
| Authorized Official Name and Position | Cecolia Lavont Steele (OWNER) |
| Authorized Official Contact | 7705927000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steele Family Dentistry Llc 116 Mirramount Lake Dr Woodstock GA 30189-8213 Ph: (770) 592-7000 | Steele Family Dentistry Llc 116 Mirramount Lake Dr Woodstock GA 30189-8213 Ph: (770) 592-7000 |
| NPI Number | 1164744157 |
|---|---|
| Provider Enumeration Date | 02/18/2010 |
| Last Update Date | 02/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164744157 | NPI | - | NPPES |
| 00210834C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN009205 (Georgia) | Primary |
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