Dentrust, P.c. | |
112 Vilseck Rd Ft.stewart GA 31315 | |
(267) 927-5000 | |
Not Available |
Full Name | Dentrust, P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 112 Vilseck Rd, Ft.stewart, Georgia |
Authorized Official Name and Position | Amanda Anne Clark (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 2679275000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dentrust, P.c. 1221 Vinewood Dr Seffner FL 33584-4829 Ph: (813) 451-4503 | Dentrust, P.c. 112 Vilseck Rd Ft.stewart GA 31315 Ph: (267) 927-5000 |
NPI Number | 1932876950 |
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Provider Enumeration Date | 08/26/2021 |
Last Update Date | 08/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932876950 | NPI | - | NPPES |
DN014535 | Other | GA | DR.CAPLIN'S LIC GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |