| Speciality Dental Services Of Georgia | |
|
2758 Lost Lakes Dr. Powder Springs GA 30127-0000 | |
| (866) 275-2767 | |
| (678) 324-4413 |
| Full Name | Speciality Dental Services Of Georgia |
|---|---|
| Speciality | Dentist |
| Location | 2758 Lost Lakes Dr., Powder Springs, Georgia |
| Authorized Official Name and Position | Richard B. Lipsoky (OWNER) |
| Authorized Official Contact | 8662752767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Speciality Dental Services Of Georgia Po Box 109 Powder Springs GA 30127-0000 Ph: (866) 275-2767 | Speciality Dental Services Of Georgia 2758 Lost Lakes Dr. Powder Springs GA 30127-0000 Ph: (866) 275-2767 |
| NPI Number | 1326312109 |
|---|---|
| Provider Enumeration Date | 02/27/2012 |
| Last Update Date | 02/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326312109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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