| Coweta Dentistry Associates | |
|
15 Ruth Dr Newnan GA 30265-2317 | |
| (770) 253-3171 | |
| (770) 253-9892 |
| Full Name | Coweta Dentistry Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15 Ruth Dr, Newnan, Georgia |
| Authorized Official Name and Position | Jenni Snow (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4044101340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coweta Dentistry Associates 15 Ruth Dr Newnan GA 30265-2317 Ph: (770) 253-3171 | Coweta Dentistry Associates 15 Ruth Dr Newnan GA 30265-2317 Ph: (770) 253-3171 |
| NPI Number | 1689118127 |
|---|---|
| Provider Enumeration Date | 12/16/2016 |
| Last Update Date | 12/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689118127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Secondary |
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