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Organization

AMERICAN DENTAL OF EASTMAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICAHEL A KNIGHT (CEO)
(229) 313-5083
Entity
Organization

Contact information

Practice address
501 GRIFFIN AVE, EASTMAN, GA 31023-6712
(229) 313-5083
Mailing address
501 GRIFFIN AVE, EASTMAN, GA 31023-6712

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/16/2019
Last updated
12/11/2019
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