| Dr Kim Bradley Hood Dmd Pc | |
|
643 East Main Street Blackshear GA 31516 | |
| (912) 449-6310 | |
| (912) 449-0009 |
| Full Name | Dr Kim Bradley Hood Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 643 East Main Street, Blackshear, Georgia |
| Authorized Official Name and Position | Kim Bradley Hood (PRES OWNER) |
| Authorized Official Contact | 9124496310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kim Bradley Hood Dmd Pc 643 East Main Street Blackshear GA 31516 Ph: (912) 449-6310 | Dr Kim Bradley Hood Dmd Pc 643 East Main Street Blackshear GA 31516 Ph: (912) 449-6310 |
| NPI Number | 1316012636 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316012636 | NPI | - | NPPES |
| 839938 | Other | UNITED CONCORDIA INS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN010794 (Georgia) | Primary |
Blackshear Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 643 Main St, Blackshear, GA 31516 Phone: 912-449-6310 Fax: 912-449-0009 |