Mountain City Dentistry Llc | |
49 Gordon Rd Suite 102 Jasper GA 30143 | |
(770) 744-5437 | |
Not Available |
Full Name | Mountain City Dentistry Llc |
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Speciality | Dentist - General Practice |
Location | 49 Gordon Rd, Jasper, Georgia |
Authorized Official Name and Position | Ryan Driesse (OWNER DOCTOR) |
Authorized Official Contact | 7074454377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mountain City Dentistry Llc 7925 Scenic Ridge Way Ball Ground GA 30107-5102 Ph: () - | Mountain City Dentistry Llc 49 Gordon Rd Suite 102 Jasper GA 30143 Ph: (770) 744-5437 |
NPI Number | 1467222588 |
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Provider Enumeration Date | 01/09/2024 |
Last Update Date | 01/09/2024 |
Identifier | Type | State | Issuer |
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1467222588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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