| Georgia Dental Group Of Ga Llc | |
|
679 Baldwin Rd Cornelia GA 30531-5768 | |
| (706) 778-7147 | |
| Not Available |
| Full Name | Georgia Dental Group Of Ga Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 679 Baldwin Rd, Cornelia, Georgia |
| Authorized Official Name and Position | Nicole Caride (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7277842721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Dental Group Of Ga Llc 2300 Lakeview Pkwy Ste 250 Alpharetta GA 30009-3954 Ph: (470) 207-3264 | Georgia Dental Group Of Ga Llc 679 Baldwin Rd Cornelia GA 30531-5768 Ph: (706) 778-7147 |
| NPI Number | 1437979572 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 10/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437979572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Renew Dental, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 157 Hodges St, Cornelia, GA 30531 Phone: 706-894-1919 Fax: 706-894-1925 | |
Cornelia Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Highland Ave, Cornelia, GA 30531 Phone: 706-778-8645 Fax: 706-776-2650 | |
Cornelia Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Highland Ave, Cornelia, GA 30531 Phone: 706-778-8645 Fax: 706-776-2650 |