| Acworth Station Dental Care | |
|
3329 Cobb Pkwy Nw Suite 300 Acworth GA 30101-8325 | |
| (770) 406-6601 | |
| Not Available |
| Full Name | Acworth Station Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3329 Cobb Pkwy Nw, Acworth, Georgia |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acworth Station Dental Care 3329 Cobb Pkwy Nw Suite 300 Acworth GA 30101-8325 Ph: () - | Acworth Station Dental Care 3329 Cobb Pkwy Nw Suite 300 Acworth GA 30101-8325 Ph: (770) 406-6601 |
| NPI Number | 1659787844 |
|---|---|
| Provider Enumeration Date | 07/08/2014 |
| Last Update Date | 09/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659787844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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