Organization
HEARTLAND DENTAL CARE OF GEORGIA, P.C.
Active
Parent organization
HEARTLAND DENTAL CARE OF GEORGIA, P.C.
Other names
Sugarloaf Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL CARE OF GEORGIA, P.C.
Authorized official
KENDRA WALKER (CREDENTIALING COORDINATOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
4795 SUGARLOAF PKWY, LAWRENCEVILLE, GA 30044-6984
(678) 253-6455
Mailing address
4795 SUGARLOAF PKWY, LAWRENCEVILLE, GA 30044-6984
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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