Organization
SLATE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER AUSTIN SLATE DMD (GENERAL DENTIST/PRACTICE OWNER)
(404) 644-9649
Entity
Organization
Contact information
Practice address
1213 N MAIN ST, LA FAYETTE, GA 30728-2136
(706) 638-1114
Mailing address
1213 N MAIN ST, LA FAYETTE, GA 30728-2136
(706) 638-1114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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