| Lail Family Dentistry P.c. | |
|
3415 Highway 120 Duluth GA 30096-3354 | |
| (770) 476-2400 | |
| (770) 623-1460 |
| Full Name | Lail Family Dentistry P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3415 Highway 120, Duluth, Georgia |
| Authorized Official Name and Position | Slade W Lail (OWNER DENTIST) |
| Authorized Official Contact | 6787725640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lail Family Dentistry P.c. Po Box 1476 Duluth GA 30096-0026 Ph: (770) 476-2400 | Lail Family Dentistry P.c. 3415 Highway 120 Duluth GA 30096-3354 Ph: (770) 476-2400 |
| NPI Number | 1699314955 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 01/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699314955 | NPI | - | NPPES |
| 1538482377 | Other | GA | LISA MOSS |
| 1790213825 | Other | GA | DEVAN CALLAWAY |
| 1881981181 | Other | GA | SWL DENTAL |
| 1821263831 | Other | GA | WALLACE LAIL |
| 1902997109 | Other | GA | SLADE LAIL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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