| Lake Oconee Endodontics, Llc | |
|
1011 Parkside Cmns Ste 103 Greensboro GA 30642-4553 | |
| (706) 484-9844 | |
| (706) 484-9846 |
| Full Name | Lake Oconee Endodontics, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1011 Parkside Cmns Ste 103, Greensboro, Georgia |
| Authorized Official Name and Position | Michael Chadwick Williams (PRESIDENT) |
| Authorized Official Contact | 7068250829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Oconee Endodontics, Llc 1011 Parkside Cmns Ste 103 Greensboro GA 30642-4553 Ph: (706) 484-9844 | Lake Oconee Endodontics, Llc 1011 Parkside Cmns Ste 103 Greensboro GA 30642-4553 Ph: (706) 484-9844 |
| NPI Number | 1720342694 |
|---|---|
| Provider Enumeration Date | 06/26/2012 |
| Last Update Date | 10/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720342694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN012544 (Georgia) | Primary |
Lake Oconee Oral And Maxillofacial Surgery, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1031 Founders Row, Greensboro, GA 30642 Phone: 706-454-1500 Fax: 706-454-1501 | |
Lakeside Pediatric Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Parkside Cmns, Suite 103, Greensboro, GA 30642 Phone: 706-454-2222 Fax: 706-454-1234 | |
Lake Oconee Smile Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Parkside Commons, Suite 103, Greensboro, GA 30642 Phone: 706-454-2222 Fax: 706-454-1234 | |
Georgia Dental Alliance Of Greensboro Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Cowles Clinc Way Ste W-200, Greensboro, GA 30642 Phone: 706-454-0044 |