| Shurett Dental Group Pc | |
|
1816 Lakefield Ct Conyers GA 30013 | |
| (770) 860-8760 | |
| (770) 760-1375 |
| Full Name | Shurett Dental Group Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1816 Lakefield Ct, Conyers, Georgia |
| Authorized Official Name and Position | Tina L Titshaw (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Contact | 7707607900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shurett Dental Group Pc 1816 Lakefield Ct Conyers GA 30013 Ph: (770) 860-8760 | Shurett Dental Group Pc 1816 Lakefield Ct Conyers GA 30013 Ph: (770) 860-8760 |
| NPI Number | 1235117375 |
|---|---|
| Provider Enumeration Date | 01/09/2006 |
| Last Update Date | 02/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235117375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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