Jsa Dental Associates Mcdonough Pc | |
400 Mcdonough Pkwy Mcdonough GA 30253-8946 | |
(770) 957-5214 | |
(770) 957-5215 |
Full Name | Jsa Dental Associates Mcdonough Pc |
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Speciality | Dentist - General Practice |
Location | 400 Mcdonough Pkwy, Mcdonough, Georgia |
Authorized Official Name and Position | Juanita Adkins (DENTIST) |
Authorized Official Contact | 7709575214 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jsa Dental Associates Mcdonough Pc 400 Mcdonough Pkwy Mcdonough GA 30253-8946 Ph: (770) 957-5214 | Jsa Dental Associates Mcdonough Pc 400 Mcdonough Pkwy Mcdonough GA 30253-8946 Ph: (770) 957-5214 |
NPI Number | 1356793962 |
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Provider Enumeration Date | 07/07/2016 |
Last Update Date | 07/07/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356793962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN013121 (Georgia) | Primary |
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