| Kid's Zone Dentistry, Llc | |
|
307 Church St Suite A Lagrange GA 30240-2700 | |
| (706) 882-0591 | |
| (706) 845-9546 |
| Full Name | Kid's Zone Dentistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 307 Church St, Lagrange, Georgia |
| Authorized Official Name and Position | Laura L Webb (OFFICE MANAGER) |
| Authorized Official Contact | 7068820591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kid's Zone Dentistry, Llc 307 Church St Suite A Lagrange GA 30240-2700 Ph: (706) 882-0591 | Kid's Zone Dentistry, Llc 307 Church St Suite A Lagrange GA 30240-2700 Ph: (706) 882-0591 |
| NPI Number | 1073975868 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 03/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073975868 | NPI | - | NPPES |
| 000136848D | Medicaid | GA | |
| 003148248A | Medicaid | GA | |
| 191678896B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN008745 (Georgia) | Secondary |
| 122300000X | Dentist | DN014796 (Georgia) | Secondary |
| 122300000X | Dentist | (Georgia) | Primary |
Dr. Hector M. Bush, P. C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 147 Commerce Ave, Lagrange, GA 30241 Phone: 706-882-8081 Fax: 706-882-8661 | |
John M. Jackson, Jr., D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 S Lewis St, Lagrange, GA 30240 Phone: 706-845-0544 | |
West Georgia Dental Of La Grange,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 Doctors Dr Ste 105, Lagrange, GA 30240 Phone: 706-812-8220 Fax: 706-812-8218 | |
American Dental Of Lagrange, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Mooty Bridge Road, Lagrange, GA 30240 Phone: 706-837-0123 Fax: 706-668-5100 | |
Patricia Ann Deloach Salter, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1423 Lafayette Pkwy, Lagrange, GA 30241 Phone: 706-884-2457 Fax: 706-845-9786 | |
Calumet Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Calumet Center Rd, Lagrange, GA 30241 Phone: 706-882-2937 |