Organization
GEORGIA DEPARTMENT OF HUMAN RESOURCES
Active
Other names
Floyd County Regional Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER WADE SELLERS M.D. (MEDICAL DIRECTOR)
(706) 295-6704
Entity
Organization
Contact information
Practice address
16 E 12TH ST SW, ROME, GA 30161-4720
(706) 802-5343
(706) 802-5681
Mailing address
1309 REDMOND RD NW, ROME, GA 30165-1307
(706) 802-5343
(706) 802-5681
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
025271
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000926879
—
GA
05
—
000926879A
—
GA
05
—
000926879B
—
GA
05
—
000926879D
—
GA
05
—
000926879E
—
GA
05
—
000926879F
—
GA
05
—
000926879G
—
GA
05
—
000926879H
—
GA
05
—
000926879I
—
GA
05
—
0009288679B
—
GA
Enumeration date
02/12/2007
Last updated
07/11/2008
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