| Dtjg Dental Group Llc | |
|
2430 Powell Pl Nw Kennesaw GA 30144-3567 | |
| (770) 424-1705 | |
| Not Available |
| Full Name | Dtjg Dental Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2430 Powell Pl Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | David Hildreth (DENTIST/OWNER) |
| Authorized Official Contact | 4046643563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtjg Dental Group Llc 351 Wesley Dr Acworth GA 30101-8727 Ph: (404) 664-3563 | Dtjg Dental Group Llc 2430 Powell Pl Nw Kennesaw GA 30144-3567 Ph: (770) 424-1705 |
| NPI Number | 1700429115 |
|---|---|
| Provider Enumeration Date | 10/18/2019 |
| Last Update Date | 10/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700429115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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