| Holloway Family Dentistry | |
|
608 Highway 76 W Clayton GA 30525-5266 | |
| (706) 782-3042 | |
| Not Available |
| Full Name | Holloway Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 608 Highway 76 W, Clayton, Georgia |
| Authorized Official Name and Position | Jeremy Holloway (PRESIDENT) |
| Authorized Official Contact | 7067823042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holloway Family Dentistry Po Box 725 Clayton GA 30525-0019 Ph: (706) 782-3042 | Holloway Family Dentistry 608 Highway 76 W Clayton GA 30525-5266 Ph: (706) 782-3042 |
| NPI Number | 1528464492 |
|---|---|
| Provider Enumeration Date | 11/05/2014 |
| Last Update Date | 11/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528464492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN014627 (Georgia) | Primary |
Dental Care Of Clayton Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 436 Warwoman Rd, Clayton, GA 30525 Phone: 706-782-5414 |