| Lee J. Martin, Dmd, Llc | |
|
109 Oglesby Ave Garden City GA 31408-1611 | |
| (912) 966-2102 | |
| (912) 966-2103 |
| Full Name | Lee J. Martin, Dmd, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 109 Oglesby Ave, Garden City, Georgia |
| Authorized Official Name and Position | Lee Joshua Martin (DENTIST) |
| Authorized Official Contact | 9129662102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee J. Martin, Dmd, Llc 109 Oglesby Ave Garden City GA 31408-1611 Ph: (912) 966-2102 | Lee J. Martin, Dmd, Llc 109 Oglesby Ave Garden City GA 31408-1611 Ph: (912) 966-2102 |
| NPI Number | 1518470053 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 11/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518470053 | NPI | - | NPPES |
| DN014447 | Other | GA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN014447 (Georgia) | Primary |
Garden City Denture And Dental Center, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4019 Augusta Rd, Ste. 106, Garden City, GA 31408 Phone: 912-966-5489 Fax: 912-966-5949 |