| Periodontics & Dental Implants, Llc | |
|
163 Jefferson Pkwy Newnan GA 30263-5823 | |
| (770) 254-0401 | |
| (770) 254-8483 |
| Full Name | Periodontics & Dental Implants, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 163 Jefferson Pkwy, Newnan, Georgia |
| Authorized Official Name and Position | John Harvey (OWNER) |
| Authorized Official Contact | 7702540401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontics & Dental Implants, Llc 163 Jefferson Pkwy Newnan GA 30263-5823 Ph: (770) 254-0401 | Periodontics & Dental Implants, Llc 163 Jefferson Pkwy Newnan GA 30263-5823 Ph: (770) 254-0401 |
| NPI Number | 1811045818 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 12/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811045818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 011840 (Georgia) | Primary |
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