| Vip Family Dentistry | |
|
3625 Braselton Hwy #102 Dacula GA 30019 | |
| (678) 318-3353 | |
| (678) 318-3350 |
| Full Name | Vip Family Dentistry |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 3625 Braselton Hwy, Dacula, Georgia |
| Authorized Official Name and Position | Patrick Van Derhei (CO OWNER) |
| Authorized Official Contact | 6783183353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Family Dentistry 3625 Braselton Hwy #102 Dacula GA 30019 Ph: (678) 318-3353 | Vip Family Dentistry 3625 Braselton Hwy #102 Dacula GA 30019 Ph: (678) 318-3353 |
| NPI Number | 1740251073 |
|---|---|
| Provider Enumeration Date | 01/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740251073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN011854 (Georgia) | Primary |
| 1223P0700X | Dentist - Prosthodontics | DN012702 (Georgia) | Primary |
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Northeast Georgia Dental Professionals, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Braselton Hwy Ste 12, Dacula, GA 30019 Phone: 770-932-4240 | |
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Hamilton Mill Dental Center, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2055 Hamilton Creek Pkwy Ste 140, Dacula, GA 30019 Phone: 678-622-1822 | |
Childrens Dentistry At Gainesville Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2119 Hamilton Creek Pkwy, Suite 200, Dacula, GA 30019 Phone: 678-714-7011 Fax: 678-714-8388 | |
Yadira Cardona-rohena, Dmd Dental Clinic Medicare: Medicare Enrolled Practice Location: 4285 Jim Moore Rd, Bldg 100, Suite 104, Dacula, GA 30019 Phone: 678-835-1135 Fax: 678-835-1136 | |
Samuel S Kwon Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3590 Braselton Hwy, Suite 201, Dacula, GA 30019 Phone: 678-714-7575 Fax: 678-714-7525 |