| Dental Associates Of Southwest Georgia, Llc | |
|
718 N Broad St Cairo GA 39828-1607 | |
| (229) 377-4204 | |
| (229) 377-7753 |
| Full Name | Dental Associates Of Southwest Georgia, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 718 N Broad St, Cairo, Georgia |
| Authorized Official Name and Position | Thomas K Leggett Jr (OWNER/OPERATOR) |
| Authorized Official Contact | 2293774204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Associates Of Southwest Georgia, Llc 718 N Broad St Cairo GA 39828-1607 Ph: (229) 377-4204 | Dental Associates Of Southwest Georgia, Llc 718 N Broad St Cairo GA 39828-1607 Ph: (229) 377-4204 |
| NPI Number | 1104843861 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104843861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Georgia) | Primary |
Mya P. Greenberg, D.m.d., L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 S Broad St, Cairo, GA 39828 Phone: 229-377-6125 Fax: 229-377-5601 | |
Lumis C. Brown Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 S Broad St, Cairo, GA 39828 Phone: 229-377-6125 Fax: 229-377-5601 |