| Creekside Dental, Inc. | |
|
4904 Timber Ridge Dr Ste 203 Douglasville GA 30135-1831 | |
| (770) 577-5727 | |
| (770) 577-7542 |
| Full Name | Creekside Dental, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4904 Timber Ridge Dr Ste 203, Douglasville, Georgia |
| Authorized Official Name and Position | Pamela Deas (OFFICE MANAGER) |
| Authorized Official Contact | 7705775727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Dental, Inc. 4904 Timber Ridge Dr Ste 203 Douglasville GA 30135-1831 Ph: (770) 577-5727 | Creekside Dental, Inc. 4904 Timber Ridge Dr Ste 203 Douglasville GA 30135-1831 Ph: (770) 577-5727 |
| NPI Number | 1295561983 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 09/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295561983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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