Organization
TREMONT ROAD DENTAL SUPER, P.C.
Active
Other names
Spencer Dental
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL DARDEN (MANAGER OF CREDENTIALING)
(770) 916-8143
Entity
Organization
Contact information
Practice address
400C SOUTHPARK BLVD, COLONIAL HEIGHTS, VA 23834-2974
(678) 904-5665
(678) 904-5669
Mailing address
210 INTERSTATE NORTH PKWY SE STE 300, ATLANTA, GA 30339-2233
(770) 916-9000
(678) 247-7858
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
11/01/2006
Last updated
01/18/2024
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