| Brent Pennington Dmd,llc | |
|
37 Gateway Business Park Dr Ringgold GA 30736-7395 | |
| (706) 935-2900 | |
| (706) 935-2904 |
| Full Name | Brent Pennington Dmd,llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 37 Gateway Business Park Dr, Ringgold, Georgia |
| Authorized Official Name and Position | Brent Pennington (DENTIST/OWNER) |
| Authorized Official Contact | 7069352900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Pennington Dmd,llc 37 Gateway Business Park Dr Ringgold GA 30736-7395 Ph: (706) 935-2900 | Brent Pennington Dmd,llc 37 Gateway Business Park Dr Ringgold GA 30736-7395 Ph: (706) 935-2900 |
| NPI Number | 1417054784 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 03/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417054784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN012927 (Georgia) | Primary |
Northwest Georgia Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7319 Nashville St, Ringgold, GA 30736 Phone: 706-935-2206 | |
Wee Care Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6843 Nashville St, Ringgold, GA 30736 Phone: 706-965-3799 Fax: 706-965-3790 |