| Assisted Dental Care, Llc | |
|
2070 Lee Peters Rd Loganville GA 30052-4193 | |
| (470) 589-9292 | |
| Not Available |
| Full Name | Assisted Dental Care, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2070 Lee Peters Rd, Loganville, Georgia |
| Authorized Official Name and Position | Samantha Fountain (MANAGING PARTNER) |
| Authorized Official Contact | 4705899292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Assisted Dental Care, Llc 5885 Cumming Hwy Ste 108199 Sugar Hill GA 30518-5765 Ph: (470) 589-9292 | Assisted Dental Care, Llc 2070 Lee Peters Rd Loganville GA 30052-4193 Ph: (470) 589-9292 |
| NPI Number | 1902540669 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 04/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902540669 | NPI | - | NPPES |
| DN012292 | Other | GA | DENTAL LICENSE |
| DN011027 | Other | GA | GEORGIA BOARD OF DENTISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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