Southland Children's Dentistry | |
2301 Lullwater Rd Albany GA 31707-3180 | |
(229) 439-8896 | |
Not Available |
Full Name | Southland Children's Dentistry |
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Speciality | Clinic/center - Dental |
Location | 2301 Lullwater Rd, Albany, Georgia |
Authorized Official Name and Position | Kenneth Steve Sellers (DENTIST/OWNER) |
Authorized Official Contact | 9122535888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southland Children's Dentistry 2301 Lullwater Rd Albany GA 31707-3180 Ph: (229) 439-8896 | Southland Children's Dentistry 2301 Lullwater Rd Albany GA 31707-3180 Ph: (229) 439-8896 |
NPI Number | 1356793533 |
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Provider Enumeration Date | 07/12/2016 |
Last Update Date | 07/12/2016 |
Identifier | Type | State | Issuer |
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1356793533 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DN15000 (Georgia) | Primary |
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