Organization
BLACKSHEAR DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM BRADLEY HOOD DMD (DENTIST)
(912) 449-6310
Entity
Organization
Contact information
Practice address
643 MAIN ST, BLACKSHEAR, GA 31516-2303
(912) 449-6310
(912) 449-0009
Mailing address
643 MAIN ST, BLACKSHEAR, GA 31516-2303
(912) 449-6310
(912) 449-0009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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