Organization
HEARTLAND DENTAL CARE OF GEORGIA
Active
Parent organization
HEARTLAND DENTAL CARE OF GEORGIA
Other names
Clairmont Dental Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL CARE OF GEORGIA
Authorized official
KELLI WALKER (INSURANCE/CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
290 HIGHWAY 314 STE A, FAYETTEVILLE, GA 30214-7813
(770) 460-6060
(770) 461-0541
Mailing address
290 HIGHWAY 314 STE A, FAYETTEVILLE, GA 30214-7813
(770) 460-6060
(770) 461-0541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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