| Colquitt Dental Care,llc | |
|
115 N Cuthbert St Colquitt GA 39837-3401 | |
| (229) 758-3345 | |
| (229) 758-3339 |
| Full Name | Colquitt Dental Care,llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 115 N Cuthbert St, Colquitt, Georgia |
| Authorized Official Name and Position | Robert A Lane (OWNER/DENTIST) |
| Authorized Official Contact | 2297583345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colquitt Dental Care,llc 115 N Cuthbert St Colquitt GA 39837-3401 Ph: (229) 758-3345 | Colquitt Dental Care,llc 115 N Cuthbert St Colquitt GA 39837-3401 Ph: (229) 758-3345 |
| NPI Number | 1992065106 |
|---|---|
| Provider Enumeration Date | 05/22/2012 |
| Last Update Date | 05/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992065106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Grimsley Dental Clinic, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Cuthbert St, Colquitt, GA 39837 Phone: 229-758-3345 Fax: 229-758-3339 |