Organization
HARTLEY BRIDGE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEIGH UNDERWOOD BENNETT D.M.D (DENTIST/OWNER)
(478) 957-2486
Entity
Organization
Contact information
Practice address
4226 HARTLEY BRIDGE RD STE 102, MACON, GA 31216
(478) 957-2486
Mailing address
4226 HARTLEY BRIDGE RD STE 102, MACON, GA 31216-4116
(478) 957-2486
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014540
GA
Other
Enumeration date
06/09/2015
Last updated
11/26/2019
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