| Lanier Dental Group Inc | |
|
819 Thompson Bridge Road Gainesville GA 30501 | |
| (770) 535-8900 | |
| (770) 535-8108 |
| Full Name | Lanier Dental Group Inc |
|---|---|
| Speciality | Dentist |
| Location | 819 Thompson Bridge Road, Gainesville, Georgia |
| Authorized Official Name and Position | Michael D Withcer (DENTIST OWNER) |
| Authorized Official Contact | 7705358900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lanier Dental Group Inc 819 Thompson Bridge Road Gainesville GA 30501 Ph: (770) 535-8900 | Lanier Dental Group Inc 819 Thompson Bridge Road Gainesville GA 30501 Ph: (770) 535-8900 |
| NPI Number | 1932268216 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 09/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932268216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9608 (Georgia) | Primary |
| 122300000X | Dentist | DN0009359 (Florida) | Secondary |
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