| North Georgia Dental Sedation Center | |
|
655 Jesse Jewel Pkwy Se Suite E Gainesville GA 30501 | |
| (770) 539-9110 | |
| (678) 714-8388 |
| Full Name | North Georgia Dental Sedation Center |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 655 Jesse Jewel Pkwy Se, Gainesville, Georgia |
| Authorized Official Name and Position | Mariella Ramos (OFFICE MANAGER) |
| Authorized Official Contact | 6787147011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Georgia Dental Sedation Center 655 Jesse Jewell Pkwy Se Suite Gainesville GA 30501-3756 Ph: (770) 539-9110 | North Georgia Dental Sedation Center 655 Jesse Jewel Pkwy Se Suite E Gainesville GA 30501 Ph: (770) 539-9110 |
| NPI Number | 1194972901 |
|---|---|
| Provider Enumeration Date | 08/22/2008 |
| Last Update Date | 08/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194972901 | NPI | - | NPPES |
| 000046582Y | Medicaid | GA | |
| 500132139C | Medicaid | GA | |
| 000851727B | Medicaid | GA |
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Platinum Dental Group Gainesville, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Thompson Bridge Rd, Gainesville, GA 30506 Phone: 770-534-5374 Fax: 770-534-5591 | |
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