| Local Dental Partners, Llc | |
| 
					4353 Atlanta Highway Suite. 300 Loganville GA 30052  | |
| (770) 405-2030 | |
| Not Available | 
| Full Name | Local Dental Partners, Llc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 4353 Atlanta Highway Suite. 300, Loganville, Georgia | 
| Authorized Official Name and Position | Ashley Nichelle Thomas (CREDENTIALING ADMINISTRATOR) | 
| Authorized Official Contact | 7704502030 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Local Dental Partners, Llc 4353 Atlanta Hwy Ste 300 Loganville GA 30052-3232 Ph: (770) 405-2030  | Local Dental Partners, Llc 4353 Atlanta Highway Suite. 300 Loganville GA 30052 Ph: (770) 405-2030  | 
| NPI Number | 1942738901 | 
|---|---|
| Provider Enumeration Date | 06/02/2017 | 
| Last Update Date | 07/14/2017 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942738901 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN013645 (Georgia) | Primary | 
Magualie J. Woollery, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7760 Hampton Pl, Building 6, Loganville, GA 30052 Phone: 678-639-0080 Fax: 678-639-0088  | |
Loganville Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3973 Atlanta Hwy, Suite 100, Loganville, GA 30052 Phone: 770-466-3114 Fax: 770-466-3777  | |
Laura C Davis Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4132 Atlanta Hwy, Suite 202, Loganville, GA 30052 Phone: 678-475-7817 Fax: 678-475-7607  | |
Loganville Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Highway 78, Loganville, GA 30052 Phone: 770-466-0580  | |
Princeton Dental Group-loganville Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4353 Atlanta Hwy, Loganville, GA 30052 Phone: 770-554-0848 Fax: 770-554-4569  | |
Loganville Dentist Office, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4799 Atlanta Hwy, Suite 520, Loganville, GA 30052 Phone: 404-720-6097 Fax: 404-609-2675  | |
Creekside Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3238 Krisam Creek Dr, Loganville, GA 30052 Phone: 770-466-0474 Fax: 770-466-3894  |