| Aspen Dental | |
|
276 Pooler Pkwy Ste A Pooler GA 31322-5163 | |
| (912) 330-9070 | |
| Not Available |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 276 Pooler Pkwy Ste A, Pooler, Georgia |
| Authorized Official Name and Position | Jebediah S Christy (DDS/OWNER) |
| 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: () - | Aspen Dental 276 Pooler Pkwy Ste A Pooler GA 31322-5163 Ph: (912) 330-9070 |
| NPI Number | 1043617293 |
|---|---|
| Provider Enumeration Date | 12/03/2014 |
| Last Update Date | 12/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043617293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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