| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3237 Sixes Rd, Canton, Georgia |
| Authorized Official Name and Position | Jean Cornell (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3237 Sixes Rd Canton GA 30114 Ph: (770) 450-1689 | 3237 Sixes Rd Canton GA 30114 Ph: (770) 450-1689 |
| NPI Number | 1003233107 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 03/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003233107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dameron Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6199 Hickory Flat Hwy, Suite 130, Canton, GA 30115 Phone: 770-345-8646 | |
Lewis Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7768 Cumming Hwy, Suite 100, Canton, GA 30114 Phone: 678-493-2204 Fax: 678-493-2275 | |
Greg Elwell, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Waleska St, Canton, GA 30114 Phone: 770-479-5569 Fax: 770-479-3492 | |
Sage Dental Group Of Georgia, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3750 Sixes Rd, Canton, GA 30114 Phone: 561-999-9650 |