| Concord Dental | |
|
11349 Tara Blvd Hampton GA 30228-6261 | |
| (678) 964-2148 | |
| Not Available |
| Full Name | Concord Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11349 Tara Blvd, Hampton, Georgia |
| Authorized Official Name and Position | Adrienne Embry Ammons (DENTIST/OWNER) |
| Authorized Official Contact | 6789642148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord Dental 11349 Tara Blvd Hampton GA 30228-6261 Ph: () - | Concord Dental 11349 Tara Blvd Hampton GA 30228-6261 Ph: (678) 964-2148 |
| NPI Number | 1154688471 |
|---|---|
| Provider Enumeration Date | 04/12/2012 |
| Last Update Date | 04/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154688471 | NPI | - | NPPES |
| 1265578769 | Other | GA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN013238 (Georgia) | Primary |
Cabell Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 990 Bear Creek Blvd, Suite E, Hampton, GA 30228 Phone: 770-707-7905 Fax: 770-707-7923 | |
Southern Pearl Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1883 Mcdonough Rd, Hampton, GA 30228 Phone: 404-729-5159 |