| Winterville Dental, Llc | |
|
104 Moores Grove Rd Winterville GA 30683-1506 | |
| (706) 742-7000 | |
| (706) 742-2145 |
| Full Name | Winterville Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 104 Moores Grove Rd, Winterville, Georgia |
| Authorized Official Name and Position | Phillip Hue Durden (MEMBER) |
| Authorized Official Contact | 7067427000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winterville Dental, Llc 104 Moores Grove Rd Winterville GA 30683-1506 Ph: (706) 742-7000 | Winterville Dental, Llc 104 Moores Grove Rd Winterville GA 30683-1506 Ph: (706) 742-7000 |
| NPI Number | 1235635715 |
|---|---|
| Provider Enumeration Date | 04/03/2018 |
| Last Update Date | 04/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235635715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Phillip H. Durden, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Moores Grove Rd, Winterville, GA 30683 Phone: 706-742-7000 | |
Dental Sleep Medicine Of Athens, Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 104 Moores Grove Rd Ste 100, Winterville, GA 30683 Phone: 706-546-8407 Fax: 706-546-8409 |