| Aspen Dental | |
|
17 Parkway Dr Fort Oglethorpe GA 30742-4249 | |
| (706) 944-3122 | |
| (706) 861-7946 |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist |
| Location | 17 Parkway Dr, Fort Oglethorpe, Georgia |
| Authorized Official Name and Position | Jennifer La Duc (PROVIDER RELATIONS) |
| Authorized Official Contact | 3514546000 |
| 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 17 Parkway Dr Fort Oglethorpe GA 30742-4249 Ph: (706) 944-3122 |
| NPI Number | 1497109540 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 04/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497109540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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