| Swainsboro Dental Center | |
|
223 N Green St Swainsboro GA 30401-3219 | |
| (912) 690-3675 | |
| Not Available |
| Full Name | Swainsboro Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 223 N Green St, Swainsboro, Georgia |
| Authorized Official Name and Position | Chad Thomas (OWNER) |
| Authorized Official Contact | 4782375330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swainsboro Dental Center Po Box 1106 Swainsboro GA 30401 Ph: (478) 237-5330 | Swainsboro Dental Center 223 N Green St Swainsboro GA 30401-3219 Ph: (912) 690-3675 |
| NPI Number | 1740704881 |
|---|---|
| Provider Enumeration Date | 07/31/2017 |
| Last Update Date | 09/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740704881 | NPI | - | NPPES |
| 003148545A | Medicaid | GA | |
| 003148545B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN014821 (Georgia) | Primary |
Hg Hall Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 W Main St, Swainsboro, GA 30401 Phone: 478-268-9000 Fax: 478-268-9005 | |
East Georgia Healthcare Center Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 W Short St, Swainsboro, GA 30401 Phone: 912-293-1476 Fax: 912-537-6161 | |
Mark D Smith Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 S Main St, Swainsboro, GA 30401 Phone: 478-237-7979 Fax: 478-237-2485 | |
Jimmy D Bellamy Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Office Way, Swainsboro, GA 30401 Phone: 478-419-1225 |