| Warner Robins Pediatric Dentistry Llc | |
|
102 S Houston Rd Warner Robins GA 31088-3904 | |
| (205) 253-1503 | |
| Not Available |
| Full Name | Warner Robins Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 102 S Houston Rd, Warner Robins, Georgia |
| Authorized Official Name and Position | Brandon Daniel Pennington (OWNER) |
| Authorized Official Contact | 4784494200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warner Robins Pediatric Dentistry Llc 4949 Guerry Dr Macon GA 31210-4127 Ph: (205) 253-1503 | Warner Robins Pediatric Dentistry Llc 102 S Houston Rd Warner Robins GA 31088-3904 Ph: (205) 253-1503 |
| NPI Number | 1871050872 |
|---|---|
| Provider Enumeration Date | 02/26/2019 |
| Last Update Date | 02/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871050872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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