| Palmetto Family Dental | |
|
15988 Barnesville St. Zebulon GA 30295 | |
| (770) 567-8000 | |
| (770) 567-8600 |
| Full Name | Palmetto Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15988 Barnesville St., Zebulon, Georgia |
| Authorized Official Name and Position | Jordan Albert Brunson (PRESIDENT) |
| Authorized Official Contact | 7705678000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Family Dental 15988 Barnesville St. Zebulon GA 30295 Ph: (770) 567-8000 | Palmetto Family Dental 15988 Barnesville St. Zebulon GA 30295 Ph: (770) 567-8000 |
| NPI Number | 1780017822 |
|---|---|
| Provider Enumeration Date | 08/13/2013 |
| Last Update Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780017822 | NPI | - | NPPES |
| 685019718C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN013693 (Georgia) | Primary |
Magusiak & Morgan, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Plaza Dr, Zebulon, GA 30295 Phone: 770-227-9693 Fax: 770-227-8078 |