| Bentwater Cosmetic And Family Dentistry | |
|
351 Thornton Rd Ste 101 Lithia Springs GA 30122-1589 | |
| (770) 944-9755 | |
| (770) 944-1261 |
| Full Name | Bentwater Cosmetic And Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 351 Thornton Rd Ste 101, Lithia Springs, Georgia |
| Authorized Official Name and Position | Tiffany Threlkeld (BUSINESS MANAGER) |
| Authorized Official Contact | 6784993514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bentwater Cosmetic And Family Dentistry 351 Thornton Rd Ste 101 Lithia Springs GA 30122-1589 Ph: (770) 944-9755 | Bentwater Cosmetic And Family Dentistry 351 Thornton Rd Ste 101 Lithia Springs GA 30122-1589 Ph: (770) 944-9755 |
| NPI Number | 1154069391 |
|---|---|
| Provider Enumeration Date | 05/26/2022 |
| Last Update Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154069391 | NPI | - | NPPES |
| DN011428 | Other | GA | DENTAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Lithia Springs Cosmetic And Family Dentistry P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 Thornton Rd Ste 101, Lithia Springs, GA 30122 Phone: 770-944-9755 Fax: 770-944-1261 | |
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