| Susan L Sockwell Dmd Pc | |
|
104 Ansley Dr Dahlonega GA 30533-1614 | |
| (706) 867-9553 | |
| Not Available |
| Full Name | Susan L Sockwell Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 104 Ansley Dr, Dahlonega, Georgia |
| Authorized Official Name and Position | Susan L Sockwell (OWNER) |
| Authorized Official Contact | 7068679553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan L Sockwell Dmd Pc 104 Ansley Dr P O Box 125 Dahlonega GA 30533-1614 Ph: (706) 867-9553 | Susan L Sockwell Dmd Pc 104 Ansley Dr Dahlonega GA 30533-1614 Ph: (706) 867-9553 |
| NPI Number | 1164834107 |
|---|---|
| Provider Enumeration Date | 05/26/2014 |
| Last Update Date | 08/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164834107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 011119 (Georgia) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Mountain View Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5458 S Chestatee, Dahlonega, GA 30533 Phone: 706-864-9800 Fax: 706-864-9801 |