| Austell Cosmetic Dentistry | |
|
4760 Austell Rd Suite 2 Austell GA 30106-2007 | |
| (770) 941-9995 | |
| Not Available |
| Full Name | Austell Cosmetic Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 4760 Austell Rd, Austell, Georgia |
| Authorized Official Name and Position | Anisa Lee Hailey (PRESIDENT & CHIEF SMILE ARCHITECT) |
| Authorized Official Contact | 7709419995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austell Cosmetic Dentistry 4760 Austell Rd Suite 2 Austell GA 30106-2007 Ph: (770) 941-9995 | Austell Cosmetic Dentistry 4760 Austell Rd Suite 2 Austell GA 30106-2007 Ph: (770) 941-9995 |
| NPI Number | 1811186398 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 10/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811186398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN012026 (Georgia) | Primary |
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