| Vita Dentistry, Llc | |
|
1781 Brookstone Walk Nw Ste 110 Acworth GA 30101-7223 | |
| (770) 426-9994 | |
| (770) 426-0833 |
| Full Name | Vita Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1781 Brookstone Walk Nw Ste 110, Acworth, Georgia |
| Authorized Official Name and Position | Andrew Vita (OWNER) |
| Authorized Official Contact | 7704269994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Dentistry, Llc 1781 Brookstone Walk Nw Ste 110 Acworth GA 30101-7223 Ph: (770) 426-9994 | Vita Dentistry, Llc 1781 Brookstone Walk Nw Ste 110 Acworth GA 30101-7223 Ph: (770) 426-9994 |
| NPI Number | 1134945397 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 12/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134945397 | NPI | - | NPPES |
| 1528146750 | Other | GA | INDIVIDUAL NPI |
| 1588216261 | Other | GA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Children's Dental Ctr At Brookstone Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 Mars Hill Rd Nw, Acworth, GA 30101 Phone: 770-422-9375 Fax: 770-528-5976 | |
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