| Dental Care Of Clayton | |
|
436 Warwoman Rd Clayton GA 30525-5105 | |
| (706) 782-5414 | |
| Not Available |
| Full Name | Dental Care Of Clayton |
|---|---|
| Speciality | Dentist |
| Location | 436 Warwoman Rd, Clayton, Georgia |
| Authorized Official Name and Position | Lori Edmonds (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care Of Clayton 436 Warwoman Rd Clayton GA 30525-5105 Ph: (706) 782-5414 | Dental Care Of Clayton 436 Warwoman Rd Clayton GA 30525-5105 Ph: (706) 782-5414 |
| NPI Number | 1417394958 |
|---|---|
| Provider Enumeration Date | 05/23/2013 |
| Last Update Date | 03/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417394958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Holloway Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 Highway 76 W, Clayton, GA 30525 Phone: 706-782-3042 |