| Careconnect Dental Van 2 | |
|
414 S Frontage Rd Lot 53 Forsyth GA 31029-3025 | |
| (229) 273-8881 | |
| Not Available |
| Full Name | Careconnect Dental Van 2 |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 414 S Frontage Rd Lot 53, Forsyth, Georgia |
| Authorized Official Name and Position | Linda Young (EXECUTIVE SECRETARY) |
| Authorized Official Contact | 2292738881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnect Dental Van 2 Po Box 5610 Cordele GA 31010-5610 Ph: () - | Careconnect Dental Van 2 414 S Frontage Rd Lot 53 Forsyth GA 31029-3025 Ph: (229) 273-8881 |
| NPI Number | 1437798725 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437798725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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