| Superfriendly Dental | |
|
160 Sailors Dr Ellijay GA 30540-3743 | |
| (706) 276-2828 | |
| (706) 276-2826 |
| Full Name | Superfriendly Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 160 Sailors Dr, Ellijay, Georgia |
| Authorized Official Name and Position | Catherine B Burke (OFFICE MANAGER) |
| Authorized Official Contact | 7062762828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superfriendly Dental Po Box 565 160 Sailors Drive Ellijay GA 30540-0008 Ph: (706) 276-2828 | Superfriendly Dental 160 Sailors Dr Ellijay GA 30540-3743 Ph: (706) 276-2828 |
| NPI Number | 1124248836 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124248836 | NPI | - | NPPES |
| 00044888A | Medicaid | GA | |
| 00912678A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7996 (Georgia) | Primary |
| 1223G0001X | Dentist - General Practice | 011546 (Georgia) | Secondary |
Talbot Dental Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 78 River Terrace, Ellijay, GA 30540 Phone: 706-635-5878 Fax: 706-635-5879 |