| Port City Family Dental Associates | |
|
709 E Shotwell St Bainbridge GA 39819-4063 | |
| (229) 246-5081 | |
| (229) 246-5011 |
| Full Name | Port City Family Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 709 E Shotwell St, Bainbridge, Georgia |
| Authorized Official Name and Position | Suzi Rush-kraft (OFFICE MANAGER) |
| Authorized Official Contact | 2292465081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port City Family Dental Associates Post Office Box 1307 Bainbridge GA 39818 Ph: (229) 246-5081 | Port City Family Dental Associates 709 E Shotwell St Bainbridge GA 39819-4063 Ph: (229) 246-5081 |
| NPI Number | 1417112533 |
|---|---|
| Provider Enumeration Date | 07/29/2008 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417112533 | NPI | - | NPPES |
| 335406129B | Medicaid | GA | |
| 00205927A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9222 (Georgia) | Primary |
Georgia Dental Associates Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Amelia Ave, Bainbridge, GA 39819 Phone: 229-246-3023 | |
Georgia Dental Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Amelia Ave, Bainbridge, GA 39819 Phone: 229-246-3023 Fax: 229-246-0073 | |
Jimmy F Maxwell Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Amelia Avenue, Bainbridge, GA 39818 Phone: 229-246-3023 Fax: 229-246-3024 | |
Clarence E. Bush, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Whigham Dairy Rd, Bainbridge, GA 39817 Phone: 229-246-9986 Fax: 229-246-7492 | |
Nicholas V. Adams Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S West St, Bainbridge, GA 39819 Phone: 229-246-2366 |