| Jennings W Bristol Dds Pc | |
|
573 Concord Rd Se Ste C Smyrna GA 30082-2611 | |
| (770) 435-9046 | |
| Not Available |
| Full Name | Jennings W Bristol Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 573 Concord Rd Se Ste C, Smyrna, Georgia |
| Authorized Official Name and Position | Jared Wilson Bristol (ASSOCIATE) |
| Authorized Official Contact | 7704359046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennings W Bristol Dds Pc 573 Concord Rd Se Ste C Smyrna GA 30082-2611 Ph: () - | Jennings W Bristol Dds Pc 573 Concord Rd Se Ste C Smyrna GA 30082-2611 Ph: (770) 435-9046 |
| NPI Number | 1952816373 |
|---|---|
| Provider Enumeration Date | 12/07/2017 |
| Last Update Date | 12/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952816373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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