Organization
BEALL DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVERY PATTON BEALL JR. DDS (OWNER)
(706) 882-2597
Entity
Organization
Contact information
Practice address
106 CORPORATE PLAZA DR, LAGRANGE, GA 30241-2883
(706) 882-2597
Mailing address
106 CORPORATE PLAZA DR, LAGRANGE, GA 30241-2883
(706) 882-2597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN00835
GA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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