| Dogwood Pediatric Dentistry Of Pooler, Llc | |
|
100 Blue Moon Xing Ste 105 Pooler GA 31322-9809 | |
| (912) 661-1391 | |
| Not Available |
| Full Name | Dogwood Pediatric Dentistry Of Pooler, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 100 Blue Moon Xing Ste 105, Pooler, Georgia |
| Authorized Official Name and Position | Karen Stevens (OFFICE MANAGER) |
| Authorized Official Contact | 9126611391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dogwood Pediatric Dentistry Of Pooler, Llc 203 Commonwealth Ave Port Wentworth GA 31407-1916 Ph: (912) 661-1391 | Dogwood Pediatric Dentistry Of Pooler, Llc 100 Blue Moon Xing Ste 105 Pooler GA 31322-9809 Ph: (912) 661-1391 |
| NPI Number | 1396474458 |
|---|---|
| Provider Enumeration Date | 06/06/2022 |
| Last Update Date | 06/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396474458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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