| Coosa Dental Sleep Therapy Llc | |
|
109 East Ave Cedartown GA 30125-2921 | |
| (770) 748-7736 | |
| Not Available |
| Full Name | Coosa Dental Sleep Therapy Llc |
|---|---|
| Speciality | Dentist |
| Location | 109 East Ave, Cedartown, Georgia |
| Authorized Official Name and Position | David B Gandy (OWNER) |
| Authorized Official Contact | 7707487736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coosa Dental Sleep Therapy Llc 109 East Ave Cedartown GA 30125-2921 Ph: (770) 748-7736 | Coosa Dental Sleep Therapy Llc 109 East Ave Cedartown GA 30125-2921 Ph: (770) 748-7736 |
| NPI Number | 1336519636 |
|---|---|
| Provider Enumeration Date | 09/29/2015 |
| Last Update Date | 09/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336519636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN010447 (Georgia) | Primary |
Coosa Dental Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 East Ave, Cedartown, GA 30125 Phone: 770-748-7736 Fax: 770-748-4015 | |
Cedartown Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Plantation Ave Ste A, Cedartown, GA 30125 Phone: 770-748-2622 Fax: 770-749-1976 | |
Cedartown Dentistry P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 East Ave, Cedartown, GA 30125 Phone: 404-617-0264 |