Fayetteville Orthodontics Llc | |
320 N Jeff Davis Dr Suite C Fayetteville GA 30214-1669 | |
(770) 460-6000 | |
Not Available |
Full Name | Fayetteville Orthodontics Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 320 N Jeff Davis Dr, Fayetteville, Georgia |
Authorized Official Name and Position | Ruchir Patel (ORTHODONTIST) |
Authorized Official Contact | 7704606000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fayetteville Orthodontics Llc 320 N Jeff Davis Dr Suite C Fayetteville GA 30214-1669 Ph: () - | Fayetteville Orthodontics Llc 320 N Jeff Davis Dr Suite C Fayetteville GA 30214-1669 Ph: (770) 460-6000 |
NPI Number | 1891239919 |
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Provider Enumeration Date | 12/08/2016 |
Last Update Date | 12/08/2016 |
Identifier | Type | State | Issuer |
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1891239919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN04542 (Georgia) | Primary |
Jeff Davis Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 N Jeff Davis Dr, Suite #1, Fayetteville, GA 30214 Phone: 678-817-5900 | |
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Ashford Dental Inc. Ii Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Beckett Ln, Suite 403, Fayetteville, GA 30214 Phone: 770-461-0400 Fax: 770-461-0280 |