| Tift Regional Dental Group, Pc | |
|
209 24th St E Tifton GA 31794-3170 | |
| (229) 382-0467 | |
| Not Available |
| Full Name | Tift Regional Dental Group, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 209 24th St E, Tifton, Georgia |
| Authorized Official Name and Position | Angela Waller (SECRETARY) |
| Authorized Official Contact | 2293820467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tift Regional Dental Group, Pc Po Box 1295 Tifton GA 31793-1295 Ph: (229) 382-0467 | Tift Regional Dental Group, Pc 209 24th St E Tifton GA 31794-3170 Ph: (229) 382-0467 |
| NPI Number | 1851460075 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 09/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851460075 | NPI | - | NPPES |
| 40104 | Medicaid | GA | |
| 111718 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Georgia) | Primary |
Pediatric Dental Center Of Georgia Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Love Ave Ste A, Tifton, GA 31794 Phone: 229-238-3787 Fax: 229-238-2530 | |
Georgia Dental Associates Of Tifton Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 14th St E, Tifton, GA 31794 Phone: 229-313-5083 | |
Allen M. Vickers, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 14th St E, Tifton, GA 31794 Phone: 229-382-0803 | |
Fulp Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Magnolia Dr N, Tifton, GA 31794 Phone: 229-382-7996 Fax: 229-386-4832 | |
Robert A Hill Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 North Magnolia Dr, Tifton, GA 31794 Phone: 229-382-7996 Fax: 229-386-4832 | |
Marsha Jordan Holloway, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 12th St W, Suite F, Tifton, GA 31794 Phone: 229-386-1616 Fax: 229-386-4828 |