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417 W 3rd Ave Albany GA 31701-1943 | |
| (229) 888-6559 | |
| (229) 436-4107 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 417 W 3rd Ave, Albany, Georgia |
| Authorized Official Name and Position | Shelley Spires (CEO) |
| Authorized Official Contact | 2298886559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
204 N Westover Blvd Albany GA 31707-2983 Ph: (229) 888-6559 | 417 W 3rd Ave Albany GA 31701-1943 Ph: (229) 888-6559 |
| NPI Number | 1265886295 |
|---|---|
| Provider Enumeration Date | 04/15/2016 |
| Last Update Date | 07/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265886295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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