| Special Care Dental Of Georgia | |
|
111 John Maddox Dr Nw Ste. 128 Rome GA 30165-1419 | |
| (855) 259-9183 | |
| (502) 254-4086 |
| Full Name | Special Care Dental Of Georgia |
|---|---|
| Speciality | Dentist |
| Location | 111 John Maddox Dr Nw, Rome, Georgia |
| Authorized Official Name and Position | Kent Ellington (OWNER) |
| Authorized Official Contact | 8552599183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Special Care Dental Of Georgia 12910 Shelbyville Rd Ste 300 Louisville KY 40243-2404 Ph: (502) 244-2441 | Special Care Dental Of Georgia 111 John Maddox Dr Nw Ste. 128 Rome GA 30165-1419 Ph: (855) 259-9183 |
| NPI Number | 1760870885 |
|---|---|
| Provider Enumeration Date | 12/23/2014 |
| Last Update Date | 12/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760870885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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