| Georgia Dental Alliance Of Greensboro | |
|
1000 Cowles Clinc Way Ste W-200 Greensboro GA 30642-4539 | |
| (706) 454-0044 | |
| Not Available |
| Full Name | Georgia Dental Alliance Of Greensboro |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1000 Cowles Clinc Way Ste W-200, Greensboro, Georgia |
| Authorized Official Name and Position | Jenni Tomlinson (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6789867116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Dental Alliance Of Greensboro 1000 Cowles Clinc Way Ste W-200 Greensboro GA 30642-4539 Ph: (706) 454-0044 | Georgia Dental Alliance Of Greensboro 1000 Cowles Clinc Way Ste W-200 Greensboro GA 30642-4539 Ph: (706) 454-0044 |
| NPI Number | 1710522065 |
|---|---|
| Provider Enumeration Date | 11/11/2019 |
| Last Update Date | 02/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710522065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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