| Thomas Crossroads Dental Center Inc. | |
|
2511 Highway 34 E Newnan GA 30265-1329 | |
| (770) 251-6676 | |
| (770) 251-0567 |
| Full Name | Thomas Crossroads Dental Center Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2511 Highway 34 E, Newnan, Georgia |
| Authorized Official Name and Position | Daniel Edmund Ferman (OWNER) |
| Authorized Official Contact | 7702516676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Crossroads Dental Center Inc. 2511 Highway 34 E Newnan GA 30265-1329 Ph: (770) 251-6676 | Thomas Crossroads Dental Center Inc. 2511 Highway 34 E Newnan GA 30265-1329 Ph: (770) 251-6676 |
| NPI Number | 1730243510 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 10/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730243510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8855 (Georgia) | Primary |
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