| Kallie Law Brock, DMD | |
|
205 Waleska Rd, Suite 2a, Canton, GA 30114-2493 | |
| (770) 479-3713 | |
| Not Available |
| Full Name | Kallie Law Brock |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 205 Waleska Rd, Canton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447596655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8162 (South Carolina) | Primary |
| 122300000X | Dentist | DN014538 (Georgia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kallie Law Brock, DMD 205 Waleska Rd, Suite 2a, Canton, GA 30114-2493 Ph: (770) 479-3713 | Kallie Law Brock, DMD 205 Waleska Rd, Suite 2a, Canton, GA 30114-2493 Ph: (770) 479-3713 |
Dr. Stephen C Hutchins, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 218 Riverstone Dr, Canton, GA 30114 Phone: 770-479-3846 Fax: 770-479-6815 | |
Shaletha M Bolden, DDS, MSD Dentist Medicare: Medicare Enrolled Practice Location: 1425 Riverstone Pkwy Ste 200, Canton, GA 30114 Phone: 770-479-0600 | |
Dr. Sydney Okonoboh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2030 Cumming Hwy Ste 110, Canton, GA 30115 Phone: 678-818-8480 | |
Dr. Brenda Gail Fritz, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 104 Prominence Point Pkwy, Suite 102, Canton, GA 30114 Phone: 770-345-2551 Fax: 770-345-2234 | |
Dr. William Dirk Russell, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8014 Cumming Hwy Suite 401, Canton, GA 30115 Phone: 770-345-2010 Fax: 770-345-0571 | |
Dr. Scott Vidar Merritt, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3755 Sixes Rd, Ste 100, Canton, GA 30114 Phone: 770-704-1812 Fax: 770-704-0379 | |
Dr. Leigh Ann Patel, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12420 Cumming Hwy, Ste 306, Canton, GA 30115 Phone: 678-947-3600 |