Organization
CHOATE DENTAL ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZIM JACKSON CHOATE DDS (PRES CHOATE DENTAL ASSOC PC)
(770) 382-0921
Entity
Organization
Contact information
Practice address
211 E MAIN ST, CARTERSVILLE, GA 30120
(770) 382-0921
(770) 607-1821
Mailing address
PO BOX 400, 211 E MAIN ST, CARTERSVILLE, GA 30120
(770) 382-0921
(770) 607-1821
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6946
GA
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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