East Metro Beautiful Smiles | |
4139 Baker Street Suite 15 Covington GA 30014 | |
(770) 787-1013 | |
(770) 787-1018 |
Full Name | East Metro Beautiful Smiles |
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Speciality | Dentist - General Practice |
Location | 4139 Baker Street, Covington, Georgia |
Authorized Official Name and Position | Anitha R Reddy (CEO/DENTIST) |
Authorized Official Contact | 7707871013 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
East Metro Beautiful Smiles 4139 Baker Street, Suite 15 Covington GA 30014 Ph: (770) 787-1013 | East Metro Beautiful Smiles 4139 Baker Street Suite 15 Covington GA 30014 Ph: (770) 787-1013 |
NPI Number | 1356834360 |
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Provider Enumeration Date | 06/13/2018 |
Last Update Date | 06/13/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356834360 | NPI | - | NPPES |
000952465ABCD | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN012610 (Georgia) | Primary |
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