Organization
TOCCOA FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY CASTLE (DIRECTOR OF PAYOR CONTRACTING)
(912) 732-1504
Entity
Organization
Contact information
Practice address
1301 BIG A RD, TOCCOA, GA 30577-6030
(706) 886-7433
Mailing address
1301 BIG A RD, TOCCOA, GA 30577-6030
(706) 886-7433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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