| Ivy Creek Dental Care | |
|
3364 Hamilton Mill Rd Buford GA 30519-4005 | |
| (470) 326-6929 | |
| (770) 686-3976 |
| Full Name | Ivy Creek Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3364 Hamilton Mill Rd, Buford, Georgia |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Creek Dental Care 3364 Hamilton Mill Rd Buford GA 30519-4005 Ph: (470) 326-6929 | Ivy Creek Dental Care 3364 Hamilton Mill Rd Buford GA 30519-4005 Ph: (470) 326-6929 |
| NPI Number | 1063028769 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 01/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063028769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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