Organization
WINTERVILLE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON W WHITWORTH DMD (OWNER)
(706) 742-7000
Entity
Organization
Contact information
Practice address
104 MOORES GROVE RD, WINTERVILLE, GA 30683-1506
(706) 742-7000
(706) 742-2145
Mailing address
104 MOORES GROVE RD, WINTERVILLE, GA 30683-1506
(706) 742-7000
(706) 742-2145
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2018
Last updated
04/22/2026
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