| Blackshear Dental Care, Llc | |
|
643 Main St Blackshear GA 31516-2303 | |
| (912) 449-6310 | |
| (912) 449-0009 |
| Full Name | Blackshear Dental Care, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 643 Main St, Blackshear, Georgia |
| Authorized Official Name and Position | Kim Bradley Hood (DENTIST) |
| Authorized Official Contact | 9124496310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackshear Dental Care, Llc 643 Main St Blackshear GA 31516-2303 Ph: (912) 449-6310 | Blackshear Dental Care, Llc 643 Main St Blackshear GA 31516-2303 Ph: (912) 449-6310 |
| NPI Number | 1508492869 |
|---|---|
| Provider Enumeration Date | 03/19/2020 |
| Last Update Date | 03/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508492869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dr Kim Bradley Hood Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 643 East Main Street, Blackshear, GA 31516 Phone: 912-449-6310 Fax: 912-449-0009 |