| Novus Orthodontics Of Georgia Llc | |
|
15 Ruth Dr Newnan GA 30265-2317 | |
| (770) 253-3171 | |
| (770) 253-9892 |
| Full Name | Novus Orthodontics Of Georgia Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 15 Ruth Dr, Newnan, Georgia |
| Authorized Official Name and Position | Jenni Tomlinson (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6789867116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novus Orthodontics Of Georgia Llc 15 Ruth Dr Newnan GA 30265-2317 Ph: (770) 253-3171 | Novus Orthodontics Of Georgia Llc 15 Ruth Dr Newnan GA 30265-2317 Ph: (770) 253-3171 |
| NPI Number | 1972108322 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972108322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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