Southern Pearl Dentistry | |
1883 Mcdonough Rd Hampton GA 30228-3516 | |
(404) 729-5159 | |
Not Available |
Full Name | Southern Pearl Dentistry |
---|---|
Speciality | Dentist |
Location | 1883 Mcdonough Rd, Hampton, Georgia |
Authorized Official Name and Position | Latonya Gillespie (OWNER) |
Authorized Official Contact | 4047295159 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southern Pearl Dentistry 210 Shoreline Dr Fayetteville GA 30215-4665 Ph: () - | Southern Pearl Dentistry 1883 Mcdonough Rd Hampton GA 30228-3516 Ph: (404) 729-5159 |
NPI Number | 1942868450 |
---|---|
Provider Enumeration Date | 05/30/2019 |
Last Update Date | 05/30/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942868450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Concord Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11349 Tara Blvd, Hampton, GA 30228 Phone: 678-964-2148 | |
Cabell Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 990 Bear Creek Blvd, Suite E, Hampton, GA 30228 Phone: 770-707-7905 Fax: 770-707-7923 |