| Northeast Georgia Dental Group | |
|
1200 Sherwood Park Dr Ne Gainesville GA 30501-3445 | |
| (770) 532-4555 | |
| Not Available |
| Full Name | Northeast Georgia Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1200 Sherwood Park Dr Ne, Gainesville, Georgia |
| Authorized Official Name and Position | Richard G. Bennett (OWNER) |
| Authorized Official Contact | 7705324555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Georgia Dental Group 1200 Sherwood Park Dr Ne Gainesville GA 30501-3445 Ph: (770) 532-4555 | Northeast Georgia Dental Group 1200 Sherwood Park Dr Ne Gainesville GA 30501-3445 Ph: (770) 532-4555 |
| NPI Number | 1013121359 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 10/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013121359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN011850 (Georgia) | Primary |
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