| Gainesville Dental Group | |
|
426 Spring St Gainesville GA 30501 | |
| (770) 297-0401 | |
| (770) 297-8477 |
| Full Name | Gainesville Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 426 Spring St, Gainesville, Georgia |
| Authorized Official Name and Position | Paul E. Gannon (OWNER/DENTIST) |
| Authorized Official Contact | 7702970401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gainesville Dental Group 426 Spring St Gainesville GA 30501 Ph: (770) 297-0401 | Gainesville Dental Group 426 Spring St Gainesville GA 30501 Ph: (770) 297-0401 |
| NPI Number | 1114181138 |
|---|---|
| Provider Enumeration Date | 07/18/2008 |
| Last Update Date | 05/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114181138 | NPI | - | NPPES |
| 00883099D | Medicaid | GA |
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