| Beall Dental Center | |
|
106 Corporate Plaza Dr Lagrange GA 30241-2883 | |
| (706) 882-2597 | |
| Not Available |
| Full Name | Beall Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 106 Corporate Plaza Dr, Lagrange, Georgia |
| Authorized Official Name and Position | Avery Patton Beall (OWNER) |
| Authorized Official Contact | 7068822597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beall Dental Center 106 Corporate Plaza Dr Lagrange GA 30241-2883 Ph: (706) 882-2597 | Beall Dental Center 106 Corporate Plaza Dr Lagrange GA 30241-2883 Ph: (706) 882-2597 |
| NPI Number | 1528179033 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528179033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN00835 (Georgia) | Primary |
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