| Picketts Mill Dental Care | |
|
8709 Dallas Acworth Hwy Dallas GA 30132 | |
| (678) 894-4944 | |
| Not Available |
| Full Name | Picketts Mill Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8709 Dallas Acworth Hwy, Dallas, Georgia |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Picketts Mill Dental Care 8709 Dallas Acworth Hwy Dallas GA 30132 Ph: () - | Picketts Mill Dental Care 8709 Dallas Acworth Hwy Dallas GA 30132 Ph: (678) 894-4944 |
| NPI Number | 1528438413 |
|---|---|
| Provider Enumeration Date | 10/05/2015 |
| Last Update Date | 10/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528438413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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