Organization
GEORGIA DENTAL ASSOCIATES, LLC
Active
Parent organization
GEORGIA DENTAL ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DENTAL ASSOCIATES, LLC
Authorized official
NETTIE S HATCHER (DIRECTOR OF OPERATIONS)
(229) 848-2685
Entity
Organization
Contact information
Practice address
500 AMELIA AVE, BAINBRIDGE, GA 39819-4356
(229) 246-3023
(229) 246-0073
Mailing address
500 AMELIA AVE, BAINBRIDGE, GA 39819-4356
(229) 246-3023
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
02/21/2022
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