Claxton Family Dentistry Llc | |
201 E Long St Claxton GA 30417-1409 | |
(912) 739-1595 | |
Not Available |
Full Name | Claxton Family Dentistry Llc |
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Speciality | Dentist |
Location | 201 E Long St, Claxton, Georgia |
Authorized Official Name and Position | Zackary Bentley (OWNER) |
Authorized Official Contact | 9126875047 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Claxton Family Dentistry Llc 201 E Long St Claxton GA 30417-1409 Ph: (912) 739-1595 | Claxton Family Dentistry Llc 201 E Long St Claxton GA 30417-1409 Ph: (912) 739-1595 |
NPI Number | 1073963476 |
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Provider Enumeration Date | 06/16/2016 |
Last Update Date | 07/03/2019 |
Identifier | Type | State | Issuer |
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1073963476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Claxton Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 W Liberty St, Claxton, GA 30417 Phone: 912-732-1011 |