Palmetto Family Dental Of Fayette County, Pc | |
210 Trilith Pkwy Ste 130 Fayetteville GA 30214-4615 | |
(706) 580-9670 | |
Not Available |
Full Name | Palmetto Family Dental Of Fayette County, Pc |
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Speciality | Dentist |
Location | 210 Trilith Pkwy Ste 130, Fayetteville, Georgia |
Authorized Official Name and Position | Jordan Brunson (PRESIDENT/OWNER) |
Authorized Official Contact | 7065809670 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Palmetto Family Dental Of Fayette County, Pc 210 Trilith Pkwy Ste 130 Fayetteville GA 30214-4615 Ph: (706) 580-9670 | Palmetto Family Dental Of Fayette County, Pc 210 Trilith Pkwy Ste 130 Fayetteville GA 30214-4615 Ph: (706) 580-9670 |
NPI Number | 1629851472 |
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Provider Enumeration Date | 08/16/2023 |
Last Update Date | 08/16/2023 |
Identifier | Type | State | Issuer |
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1629851472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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