Organization
PEDIATRIC DENTAL CENTER OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUTHER DAVID WEBSTER II D.M.D (OWNER)
(229) 238-3787
Entity
Organization
Contact information
Practice address
820 LOVE AVE STE A, TIFTON, GA 31794-4000
(229) 238-3787
(229) 238-2530
Mailing address
820 LOVE AVE STE A, TIFTON, GA 31794-4000
(229) 238-3787
(229) 238-2530
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN013788
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
582837896B
—
GA
Enumeration date
07/16/2010
Last updated
04/26/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us