| Pediatric Dentistry Asleep Of Georgia Llc | |
|
888 Pine St Macon GA 31201-2109 | |
| (412) 672-4077 | |
| (412) 672-4570 |
| Full Name | Pediatric Dentistry Asleep Of Georgia Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 888 Pine St, Macon, Georgia |
| Authorized Official Name and Position | Johnny Joseph (PRESIDENT) |
| Authorized Official Contact | 8572003312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Asleep Of Georgia Llc 500 N Lewis Run Rd Ste 215a West Mifflin PA 15122-3009 Ph: (412) 672-4077 | Pediatric Dentistry Asleep Of Georgia Llc 888 Pine St Macon GA 31201-2109 Ph: (412) 672-4077 |
| NPI Number | 1104642685 |
|---|---|
| Provider Enumeration Date | 11/29/2024 |
| Last Update Date | 11/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104642685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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