| Peachtree Periodontics & Dental Implants | |
|
306 Stevens Entry Peachtree City GA 30269-1325 | |
| (770) 487-7734 | |
| (770) 487-1783 |
| Full Name | Peachtree Periodontics & Dental Implants |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 306 Stevens Entry, Peachtree City, Georgia |
| Authorized Official Name and Position | David Robert Davenport (DOCTOR) |
| Authorized Official Contact | 7704877734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachtree Periodontics & Dental Implants 306 Stevens Entry Peachtree City GA 30269-1325 Ph: (770) 487-7734 | Peachtree Periodontics & Dental Implants 306 Stevens Entry Peachtree City GA 30269-1325 Ph: (770) 487-7734 |
| NPI Number | 1841343316 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 10/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841343316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 009974 (Georgia) | Primary |
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