Loynes Dental Care, Llc | |
1196 Pine Grove Rd Tallapoosa GA 30176-3137 | |
(770) 574-2812 | |
(770) 574-5020 |
Full Name | Loynes Dental Care, Llc |
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Speciality | Dentist |
Location | 1196 Pine Grove Rd, Tallapoosa, Georgia |
Authorized Official Name and Position | Murgesh J Loynes (OWNER) |
Authorized Official Contact | 7705742812 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Loynes Dental Care, Llc 1196 Pine Grove Rd P O Box 275 Tallapoosa GA 30176-3137 Ph: (770) 574-2812 | Loynes Dental Care, Llc 1196 Pine Grove Rd Tallapoosa GA 30176-3137 Ph: (770) 574-2812 |
NPI Number | 1205246493 |
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Provider Enumeration Date | 04/28/2014 |
Last Update Date | 04/28/2014 |
Identifier | Type | State | Issuer |
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1205246493 | NPI | - | NPPES |
003134346B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |