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Organization
LIFE POINT DENTAL ATHENS LLC
Active
Organization
LIFE POINT DENTAL ATHENS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HERR DDS (DENTIST OWNER)
(612) 414-9170
Entity
Organization
Contact information
Practice address
598 PRINCE AVE, ATHENS, GA 30601-2451
(706) 543-4952
Mailing address
660 WASHINGTON ST, JEFFERSON, GA 30549-1008
(706) 543-4952
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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