| Trinity Pediatric Dentistry | |
|
719 Lanier Ave W Ste A1 Fayetteville GA 30214-7634 | |
| (404) 696-6595 | |
| Not Available |
| Full Name | Trinity Pediatric Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 719 Lanier Ave W Ste A1, Fayetteville, Georgia |
| Authorized Official Name and Position | Paul Mckoy (CFO) |
| Authorized Official Contact | 4046966595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Pediatric Dentistry 719 W. Lanier Avenue Suite A1 Fayetteville GA 30214 Ph: () - | Trinity Pediatric Dentistry 719 Lanier Ave W Ste A1 Fayetteville GA 30214-7634 Ph: (404) 696-6595 |
| NPI Number | 1972973766 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 10/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972973766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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