| Howard Family Dental-pooler, Llc | |
|
810 Towne Center Blvd Unit 107 Pooler GA 31322-4303 | |
| (502) 254-8500 | |
| Not Available |
| Full Name | Howard Family Dental-pooler, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 810 Towne Center Blvd Unit 107, Pooler, Georgia |
| Authorized Official Name and Position | Jennifer Pardue (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 5025482402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Howard Family Dental-pooler, Llc Po Box 437169 Louisville KY 40253-7169 Ph: (502) 548-2402 | Howard Family Dental-pooler, Llc 810 Towne Center Blvd Unit 107 Pooler GA 31322-4303 Ph: (502) 254-8500 |
| NPI Number | 1891514790 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891514790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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