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
604 E 15TH AVE, CORDELE, GA 31015-1439
(229) 273-5753
Mailing address
604 E 15TH AVE, CORDELE, GA 31015-1439
(229) 273-5753
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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