Claxton Family Dentistry Llc | |
209 W Liberty St Claxton GA 30417-1911 | |
(912) 732-1011 | |
Not Available |
Full Name | Claxton Family Dentistry Llc |
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Speciality | Dentist |
Location | 209 W Liberty St, Claxton, Georgia |
Authorized Official Name and Position | Zackary L. Bentley (OWNER) |
Authorized Official Contact | 9125576307 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Claxton Family Dentistry Llc 209 W Liberty St Claxton GA 30417-1911 Ph: (912) 732-1011 | Claxton Family Dentistry Llc 209 W Liberty St Claxton GA 30417-1911 Ph: (912) 732-1011 |
NPI Number | 1992357156 |
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Provider Enumeration Date | 07/09/2019 |
Last Update Date | 07/09/2019 |
Identifier | Type | State | Issuer |
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1992357156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
Claxton Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Long St, Claxton, GA 30417 Phone: 912-739-1595 |