| Pediatric Dental Center Of Georgia | |
|
820 Love Ave Ste A Tifton GA 31794-4000 | |
| (229) 238-3787 | |
| (229) 238-2530 |
| Full Name | Pediatric Dental Center Of Georgia |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 820 Love Ave Ste A, Tifton, Georgia |
| Authorized Official Name and Position | Luther David Webster (OWNER) |
| Authorized Official Contact | 2292383787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Center Of Georgia 820 Love Ave Ste A Tifton GA 31794-4000 Ph: (229) 238-3787 | Pediatric Dental Center Of Georgia 820 Love Ave Ste A Tifton GA 31794-4000 Ph: (229) 238-3787 |
| NPI Number | 1023321205 |
|---|---|
| Provider Enumeration Date | 07/16/2010 |
| Last Update Date | 04/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023321205 | NPI | - | NPPES |
| 582837896B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN013788 (Georgia) | Primary |
Georgia Dental Associates Of Tifton Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 14th St E, Tifton, GA 31794 Phone: 229-313-5083 | |
Allen M. Vickers, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 14th St E, Tifton, GA 31794 Phone: 229-382-0803 | |
Fulp Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Magnolia Dr N, Tifton, GA 31794 Phone: 229-382-7996 Fax: 229-386-4832 | |
Robert A Hill Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 North Magnolia Dr, Tifton, GA 31794 Phone: 229-382-7996 Fax: 229-386-4832 | |
Tift Regional Dental Group, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 24th St E, Tifton, GA 31794 Phone: 229-382-0467 | |
Marsha Jordan Holloway, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 12th St W, Suite F, Tifton, GA 31794 Phone: 229-386-1616 Fax: 229-386-4828 |