| Stockbridge Family Dental | |
|
153 N Park Trl Stockbridge GA 30281-7373 | |
| (678) 289-5436 | |
| (678) 289-5438 |
| Full Name | Stockbridge Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 153 N Park Trl, Stockbridge, Georgia |
| Authorized Official Name and Position | Colin E Williams (DENTIST) |
| Authorized Official Contact | 6782895436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stockbridge Family Dental 164 Babbling Brook Dr Mcdonough GA 30252-1619 Ph: (678) 289-5436 | Stockbridge Family Dental 153 N Park Trl Stockbridge GA 30281-7373 Ph: (678) 289-5436 |
| NPI Number | 1013211887 |
|---|---|
| Provider Enumeration Date | 01/07/2011 |
| Last Update Date | 01/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013211887 | NPI | - | NPPES |
| 663050454A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN013658 (Georgia) | Primary |
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