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Organization
SOUTHLAND CHILDREN'S DENTISTRY LLC
Active
Organization
SOUTHLAND CHILDREN'S DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY DAVIS (CLAIMS ADMINISTRATOR)
(229) 939-8896
Entity
Organization
Contact information
Practice address
609 POINTE NORTH BLVD, ALBANY, GA 31721-3122
(229) 439-8896
Mailing address
609 POINTE NORTH BLVD, ALBANY, GA 31721-3122
(229) 439-8896
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN15000
GA
Other
Enumeration date
07/12/2016
Last updated
08/07/2026
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