| Bethlehem Dentistry, Llc | |
|
255 Gateway Drive Suite 200 Bethlehem GA 30620 | |
| (678) 963-5790 | |
| (678) 963-5790 |
| Full Name | Bethlehem Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 255 Gateway Drive, Bethlehem, Georgia |
| Authorized Official Name and Position | Brandon L. Esco (OWNER/DENTIST) |
| Authorized Official Contact | 6789635790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethlehem Dentistry, Llc 255 Gateway Drive Suite 20 Bethlehem GA 30620 Ph: (678) 963-5790 | Bethlehem Dentistry, Llc 255 Gateway Drive Suite 200 Bethlehem GA 30620 Ph: (678) 963-5790 |
| NPI Number | 1518445683 |
|---|---|
| Provider Enumeration Date | 08/01/2018 |
| Last Update Date | 08/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518445683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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