| Three Lakes Dental, P.c. | |
|
1619 Gilmer Ave Tallassee AL 36078-2313 | |
| (334) 252-9000 | |
| (334) 252-9003 |
| Full Name | Three Lakes Dental, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1619 Gilmer Ave, Tallassee, Alabama |
| Authorized Official Name and Position | Eric S Harris (OWNER, DENTIST) |
| Authorized Official Contact | 3342529000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Lakes Dental, P.c. 1619 Gilmer Ave Tallassee AL 36078-2313 Ph: (334) 252-9000 | Three Lakes Dental, P.c. 1619 Gilmer Ave Tallassee AL 36078-2313 Ph: (334) 252-9000 |
| NPI Number | 1497002216 |
|---|---|
| Provider Enumeration Date | 08/10/2012 |
| Last Update Date | 08/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497002216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5796 (Alabama) | Primary |
Tallassee Family Dentistry Pcc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608b Gilmer Avenue, Tallassee, AL 36078 Phone: 334-283-8115 Fax: 334-283-2610 | |
John S Rose Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608b Gilmer Ave, Tallassee, AL 36078 Phone: 334-283-8115 | |
Tallassee Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 Gilmer Ave, Tallassee, AL 36078 Phone: -- |