Family Dental, Pc | |
12 Rountree Rd Riverdale GA 30274-4036 | |
(678) 913-4912 | |
Not Available |
Full Name | Family Dental, Pc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 12 Rountree Rd, Riverdale, Georgia |
Authorized Official Name and Position | Monica Mcintyre (OWNER) |
Authorized Official Contact | 6785651985 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Dental, Pc 31 Highway 138 W Suite 160 Stockbridge GA 30281-4320 Ph: (678) 913-4912 | Family Dental, Pc 12 Rountree Rd Riverdale GA 30274-4036 Ph: (678) 913-4912 |
NPI Number | 1861886111 |
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Provider Enumeration Date | 03/25/2015 |
Last Update Date | 03/25/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861886111 | NPI | - | NPPES |
000925735H | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DN012467 (Georgia) | Primary |
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