| Uptown Dental | |
|
8415 Campbellton St Douglasville GA 30134-1876 | |
| (770) 942-4899 | |
| (770) 942-4859 |
| Full Name | Uptown Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8415 Campbellton St, Douglasville, Georgia |
| Authorized Official Name and Position | Jacques Ramone Williams (PRESIDENT) |
| Authorized Official Contact | 7709424899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uptown Dental 8415 Campbellton St Douglasville GA 30134-1876 Ph: (770) 942-4899 | Uptown Dental 8415 Campbellton St Douglasville GA 30134-1876 Ph: (770) 942-4899 |
| NPI Number | 1477705465 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477705465 | NPI | - | NPPES |
| 27000355 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN013290 (Georgia) | Primary |
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