Organization
PEACHTREE CITY DENTISTRY
Active
Parent organization
PEACHTREE CITY DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEACHTREE CITY DENTISTRY
Authorized official
JOHN D. BLANCHARD (OWNER)
(770) 631-7001
Entity
Organization
Contact information
Practice address
50 EASTBROOK BND, PEACHTREE CITY, GA 30269-1530
(770) 631-7001
(770) 631-7005
Mailing address
50 EASTBROOK BND, PEACHTREE CITY, GA 30269-1530
(770) 631-7001
(770) 631-7005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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