| Sweetgums Dental Llc | |
|
1435 54th St Suite 100a Columbus GA 31904-4998 | |
| (706) 507-9132 | |
| (706) 507-9135 |
| Full Name | Sweetgums Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 1435 54th St, Columbus, Georgia |
| Authorized Official Name and Position | Laretha Urett Lockhart (OWNER/DENTIST) |
| Authorized Official Contact | 7065079132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweetgums Dental Llc 1435 54th St Suite 100a Columbus GA 31904-4998 Ph: (706) 507-9132 | Sweetgums Dental Llc 1435 54th St Suite 100a Columbus GA 31904-4998 Ph: (706) 507-9132 |
| NPI Number | 1477859387 |
|---|---|
| Provider Enumeration Date | 02/10/2011 |
| Last Update Date | 02/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477859387 | NPI | - | NPPES |
| 355358613B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN013438 (Georgia) | Primary |
Columbus Oral & Maxillofacial Surgery Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4405 N Stadium Dr, Suite A, Columbus, GA 31909 Phone: 706-507-0901 Fax: 706-507-0984 | |
Muscogee Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3619 Calvin Dr, Columbus, GA 31904 Phone: 706-940-0528 Fax: 706-940-0571 | |
Adams Family And Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5605 Princeton Ave, Suite B, Columbus, GA 31904 Phone: 706-323-8811 Fax: 706-323-8824 | |
Georgia Dental Alliance Of Columbus Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6410 W Hamilton Park Dr, Columbus, GA 31909 Phone: 706-653-8700 | |
Columbus Children's Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4405 N Stadium Dr, Suite B, Columbus, GA 31909 Phone: 706-225-0444 Fax: 706-940-0008 | |
Vbdc Of Columbus Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5448 Whittlesey Blvd Ste B, Columbus, GA 31909 Phone: 478-733-0857 Fax: 478-254-5709 | |
Select Dental Ga Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1834 Warm Springs Rd, Columbus, GA 31904 Phone: 706-324-1834 |