| Dentistry For Children Of Peachtree City, Llc | |
|
1280 Highway 74 S Ste 210 Peachtree City GA 30269-3077 | |
| (770) 692-7222 | |
| (770) 692-7225 |
| Full Name | Dentistry For Children Of Peachtree City, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1280 Highway 74 S Ste 210, Peachtree City, Georgia |
| Authorized Official Name and Position | Charles Coulter (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7704731350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children Of Peachtree City, Llc 295 Country Club Dr Stockbridge GA 30281-7350 Ph: (770) 473-1350 | Dentistry For Children Of Peachtree City, Llc 1280 Highway 74 S Ste 210 Peachtree City GA 30269-3077 Ph: (770) 692-7222 |
| NPI Number | 1063713899 |
|---|---|
| Provider Enumeration Date | 11/10/2010 |
| Last Update Date | 11/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063713899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Brian F. Bragassa Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Prime Pt Ste 200, Peachtree City, GA 30269 Phone: 770-487-5505 | |
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Dr. James R. Long Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1280 Highway 74 S, 110, Peachtree City, GA 30269 Phone: 770-461-9642 Fax: 770-461-2966 | |
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Novus Orthodontics Of Georgia Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Northlake Dr, Peachtree City, GA 30269 Phone: 770-487-8298 Fax: 770-487-5372 | |
Robert S.brooks Dds & Timothy J. Kaiglerdmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Stevens Entry, Peachtree City, GA 30269 Phone: 770-487-5327 |