| Aspen Dental | |
|
11455 Canal Crossing Brunswick GA 31525 | |
| (912) 217-4953 | |
| Not Available |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist |
| Location | 11455 Canal Crossing, Brunswick, Georgia |
| Authorized Official Name and Position | Jennifer La Duc (PROVIDER RELATIONS) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Aspen Dental 11455 Canal Crossing Brunswick GA 31525 Ph: (912) 217-4953 |
| NPI Number | 1619424173 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619424173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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