| Childrens Dentistry At Hamilton Mill & Gainesville | |
|
655 Jesse Jewell Pkwy Se Gainesville GA 30501 | |
| (770) 539-9110 | |
| (678) 714-8388 |
| Full Name | Childrens Dentistry At Hamilton Mill & Gainesville |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 655 Jesse Jewell Pkwy Se, Gainesville, Georgia |
| Authorized Official Name and Position | Diane C Kelly (OWNER - AND PROVIDER) |
| Authorized Official Contact | 6787147011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dentistry At Hamilton Mill & Gainesville 655 Jesse Jewell Pkwy Se Gainesville GA 30501 Ph: (770) 539-9110 | Childrens Dentistry At Hamilton Mill & Gainesville 655 Jesse Jewell Pkwy Se Gainesville GA 30501 Ph: (770) 539-9110 |
| NPI Number | 1740452465 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 08/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740452465 | NPI | - | NPPES |
| 186794814A | Medicaid | GA | |
| 191450941A | Medicaid | GA | |
| 390489607J | Medicaid | GA | |
| 000046582Y | Medicaid | GA | |
| 919057925B | Medicaid | GA | |
| 514725717B | Medicaid | GA | |
| 000851727B | Medicaid | GA | |
| 609963109E | Medicaid | GA | |
| 218323780A | Medicaid | GA | |
| 609963109L | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DNO12082 (Georgia) | Primary |
Northeast Georgia Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Sherwood Park Dr Ne, Gainesville, GA 30501 Phone: 770-532-4555 | |
Patrick B Toms Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 590 South Enota Drive, Gainesville, GA 30501 Phone: 770-536-4471 Fax: 770-534-2174 | |
Royal Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Dawsonville Hwy Ste 150, Gainesville, GA 30501 Phone: 770-503-7130 Fax: 770-503-7131 | |
Platinum Dental Group Gainesville, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Thompson Bridge Rd, Gainesville, GA 30506 Phone: 770-534-5374 Fax: 770-534-5591 | |
Gainesville Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 426 Spring St, Gainesville, GA 30501 Phone: 770-297-0401 Fax: 770-297-8477 | |
Kegler And Associates Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 592b Medical Park Dr, Gainesville, GA 30501 Phone: 770-536-6688 Fax: 770-536-7070 | |
North Georgia Dental Sedation Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 655 Jesse Jewel Pkwy Se, Suite E, Gainesville, GA 30501 Phone: 770-539-9110 Fax: 678-714-8388 |