| Tl Dental Group, Llc | |
|
2230 Towne Lake Pkwy Bldg. 100, Suite 100 Woodstock GA 30189-5540 | |
| (770) 924-8848 | |
| Not Available |
| Full Name | Tl Dental Group, Llc |
|---|---|
| Speciality | Dentist |
| Location | 2230 Towne Lake Pkwy, Woodstock, Georgia |
| Authorized Official Name and Position | James A Stansbury (PRESIDENT) |
| Authorized Official Contact | 7709248848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tl Dental Group, Llc 2230 Towne Lake Pkwy Bldg. 100, Suite 100 Woodstock GA 30189-5540 Ph: () - | Tl Dental Group, Llc 2230 Towne Lake Pkwy Bldg. 100, Suite 100 Woodstock GA 30189-5540 Ph: (770) 924-8848 |
| NPI Number | 1487047791 |
|---|---|
| Provider Enumeration Date | 03/11/2015 |
| Last Update Date | 03/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487047791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8387 (Georgia) | Primary |
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