| Princeton Dental Group-loganville | |
|
4353 Atlanta Hwy Loganville GA 30052-3214 | |
| (770) 554-0848 | |
| (770) 554-4569 |
| Full Name | Princeton Dental Group-loganville |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4353 Atlanta Hwy, Loganville, Georgia |
| Authorized Official Name and Position | Kevin Blair (OWNER/OPERATOR) |
| Authorized Official Contact | 4043242012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Princeton Dental Group-loganville 1515 Water Shine Way Snellville GA 30078 Ph: (404) 324-2012 | Princeton Dental Group-loganville 4353 Atlanta Hwy Loganville GA 30052-3214 Ph: (770) 554-0848 |
| NPI Number | 1275810129 |
|---|---|
| Provider Enumeration Date | 11/07/2011 |
| Last Update Date | 09/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275810129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN011481 (Georgia) | Primary |
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