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Organization
GEORGIA DENTAL ASSOCIATES LLC
Active
Organization
GEORGIA DENTAL ASSOCIATES LLC
Active
Parent organization
GEORGIA DENTAL ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DENTAL ASSOCIATES, LLC
Authorized official
NETTIE S HATCHER (DIRECTOR OF OPERATIONS)
(229) 848-2685
Entity
Organization
Contact information
Practice address
500 AMELIA AVE, BAINBRIDGE, GA 39819-4356
(229) 246-3023
Mailing address
500 AMELIA AVE, BAINBRIDGE, GA 39819-4356
(229) 246-3023
(229) 246-0073
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
02/21/2022
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