Organization
HOMETOWN FAMILY DENTISTRY
Active
Other names
Hometown Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER AMOS RDH (OFFICE MANAGER)
(706) 387-0305
Entity
Organization
Contact information
Practice address
1363 OLD PENDERGRASS RD, JEFFERSON, GA 30549-2790
(706) 387-0305
(706) 708-2253
Mailing address
1363 OLD PENDERGRASS RD, JEFFERSON, GA 30549-2790
(706) 387-0305
(706) 708-2253
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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