| Eaglin Family Dentistry, Llc | |
|
248 Arrowhead Blvd Jonesboro GA 30236-1106 | |
| (770) 471-2333 | |
| Not Available |
| Full Name | Eaglin Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 248 Arrowhead Blvd, Jonesboro, Georgia |
| Authorized Official Name and Position | Jason S Eaglin (DENTIST/OWNER) |
| Authorized Official Contact | 7704712333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eaglin Family Dentistry, Llc 248 Arrowhead Blvd Jonesboro GA 30236-1106 Ph: (770) 471-2333 | Eaglin Family Dentistry, Llc 248 Arrowhead Blvd Jonesboro GA 30236-1106 Ph: (770) 471-2333 |
| NPI Number | 1033380605 |
|---|---|
| Provider Enumeration Date | 03/21/2008 |
| Last Update Date | 03/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033380605 | NPI | - | NPPES |
| 182357 | Other | GA | DORAL |
| 102167 | Other | GA | AVESIS |
| 777472578B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | BE9572581 (Georgia) | Primary |
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