| Northeast Georgia Dental Professionals, Llc | |
|
2700 Braselton Hwy Ste 12 Dacula GA 30019-3263 | |
| (770) 932-4240 | |
| Not Available |
| Full Name | Northeast Georgia Dental Professionals, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2700 Braselton Hwy Ste 12, Dacula, Georgia |
| Authorized Official Name and Position | Eric Jones (CEO) |
| Authorized Official Contact | 7709324240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Georgia Dental Professionals, Llc 2700 Braselton Hwy Ste 12 Dacula GA 30019-3263 Ph: (770) 932-4240 | Northeast Georgia Dental Professionals, Llc 2700 Braselton Hwy Ste 12 Dacula GA 30019-3263 Ph: (770) 932-4240 |
| NPI Number | 1093283715 |
|---|---|
| Provider Enumeration Date | 11/12/2018 |
| Last Update Date | 11/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093283715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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