| Super Friendly Dental | |
|
80 Cinema Drive Ellijay GA 30540-2592 | |
| (706) 276-2828 | |
| (706) 276-2826 |
| Full Name | Super Friendly Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 80 Cinema Drive, Ellijay, Georgia |
| Authorized Official Name and Position | Steven Miracle (CEO) |
| Authorized Official Contact | 7069465610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Super Friendly Dental 165 Blue Ridge Overlook Blue Ridge GA 30513-4431 Ph: (706) 946-5607 | Super Friendly Dental 80 Cinema Drive Ellijay GA 30540-2592 Ph: (706) 276-2828 |
| NPI Number | 1871012740 |
|---|---|
| Provider Enumeration Date | 09/12/2017 |
| Last Update Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871012740 | NPI | - | NPPES |
| 003200832A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
North Georgia Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Old Highway 5 South, Ellijay, GA 30540 Phone: 706-276-4741 Fax: 706-276-4645 | |
Mountain Top Primary Care Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Industrial Blvd, Suite 114, Ellijay, GA 30540 Phone: 706-636-4364 Fax: 706-636-5264 | |
The Raisig Clinic And Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 60 Highland Ct Ste 101, Ellijay, GA 30540 Phone: 706-698-3627 Fax: 706-698-3630 | |
Ng Clinical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 136 Industrial Blvd Ste A, Ellijay, GA 30540 Phone: 706-276-6550 | |
Gateway Treatment Centers, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Kiker St, Ellijay, GA 30540 Phone: 706-703-2517 Fax: 706-273-2517 | |
Kelvin Moss Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 83 Southside Church St, Ellijay, GA 30540 Phone: 706-636-6677 | |
Huffs Select Care Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 136-a Industrial Blvd, Ellijay, GA 30540 Phone: 706-636-4833 Fax: 706-636-4407 |