| Statesboro Pediatric Dentistry, Llc | |
|
613 E Grady St Statesboro GA 30458-5104 | |
| (478) 456-5907 | |
| Not Available |
| Full Name | Statesboro Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 613 E Grady St, Statesboro, Georgia |
| Authorized Official Name and Position | Anjali Puri Patel (DENTIST/OWNER) |
| Authorized Official Contact | 4784565907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Statesboro Pediatric Dentistry, Llc 101 Irongate Pl Statesboro GA 30458-9195 Ph: (478) 456-5907 | Statesboro Pediatric Dentistry, Llc 613 E Grady St Statesboro GA 30458-5104 Ph: (478) 456-5907 |
| NPI Number | 1568935286 |
|---|---|
| Provider Enumeration Date | 01/04/2019 |
| Last Update Date | 01/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568935286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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Les J. Kicklighter, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 Gentilly Rd, Statesboro, GA 30458 Phone: 912-489-4151 | |
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East Georgia Oral & Maxillofacial Surgery Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 E Grady St, Statesboro, GA 30458 Phone: 912-764-5435 Fax: 912-764-9789 | |
East Georgia Center For Oral & Facial Surgery Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1222 Brampton Ave, Statesboro, GA 30458 Phone: 912-764-5435 Fax: 912-764-9789 | |
Jason R. Mcgibony, Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 378 Savannah Ave, Statesboro, GA 30458 Phone: 912-764-4403 Fax: 912-764-7210 | |
Bulloch Oral And Maxillofacial Surgery And Dental Implant Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Florence Ave, Statesboro, GA 30458 Phone: 912-408-7100 |