| Loganville Dental Associates | |
|
150 Highway 78 Loganville GA 30052-2277 | |
| (770) 466-0580 | |
| Not Available |
| Full Name | Loganville Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 150 Highway 78, Loganville, Georgia |
| Authorized Official Name and Position | Jane Hammond (OFFICE MANAGER) |
| Authorized Official Contact | 7704660580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loganville Dental Associates 150 Highway 78 Loganville GA 30052-2277 Ph: (770) 466-0580 | Loganville Dental Associates 150 Highway 78 Loganville GA 30052-2277 Ph: (770) 466-0580 |
| NPI Number | 1154682219 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 06/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154682219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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