| Hartley Bridge Family Dentistry | |
|
4226 Hartley Bridge Rd Ste 102 Macon GA 31216 | |
| (478) 957-2486 | |
| Not Available |
| Full Name | Hartley Bridge Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 4226 Hartley Bridge Rd Ste 102, Macon, Georgia |
| Authorized Official Name and Position | Leigh Underwood Bennett (DENTIST/OWNER) |
| Authorized Official Contact | 4789572486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartley Bridge Family Dentistry 4226 Hartley Bridge Rd Ste 102 Macon GA 31216-4116 Ph: (478) 957-2486 | Hartley Bridge Family Dentistry 4226 Hartley Bridge Rd Ste 102 Macon GA 31216 Ph: (478) 957-2486 |
| NPI Number | 1104206713 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 11/26/2019 |
| Medicare PECOS PAC ID | 7315270782 |
|---|---|
| Medicare Enrollment ID | O20190618000857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104206713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN014540 (Georgia) | Primary |
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