| Dental One Associates (fayetteville) Llc | |
|
410 N Jeff Davis Dr Fayetteville GA 30214-1630 | |
| (770) 460-9702 | |
| Not Available |
| Full Name | Dental One Associates (fayetteville) Llc |
|---|---|
| Speciality | Dentist |
| Location | 410 N Jeff Davis Dr, Fayetteville, Georgia |
| Authorized Official Name and Position | Mike Cole (INSURANCE DIRECTOR) |
| Authorized Official Contact | 7277261611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental One Associates (fayetteville) Llc 410 N Jeff Davis Dr Fayetteville GA 30214-1630 Ph: () - | Dental One Associates (fayetteville) Llc 410 N Jeff Davis Dr Fayetteville GA 30214-1630 Ph: (770) 460-9702 |
| NPI Number | 1720111644 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720111644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Jeff Davis Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 N Jeff Davis Dr, Suite #1, Fayetteville, GA 30214 Phone: 678-817-5900 | |
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