| Hickory Commons Dental Care | |
|
6759 Hickory Rd Woodstock GA 30188-2019 | |
| (470) 863-2391 | |
| Not Available |
| Full Name | Hickory Commons Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6759 Hickory Rd, Woodstock, Georgia |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hickory Commons Dental Care 6759 Hickory Rd Woodstock GA 30188-2019 Ph: (678) 540-1680 | Hickory Commons Dental Care 6759 Hickory Rd Woodstock GA 30188-2019 Ph: (470) 863-2391 |
| NPI Number | 1417422007 |
|---|---|
| Provider Enumeration Date | 10/10/2018 |
| Last Update Date | 01/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417422007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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