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Organization

JACK F BICKFORD, DDS, PC

Active
Other names
Drs. Bickford and Shirley
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACK F BICKFORD D.D.S. (PRESIDENT)
(770) 445-6606
Entity
Organization

Contact information

Practice address
3036 ATLANTA HWY, DALLAS, GA 30132-5723
(770) 445-6606
(770) 443-1270
Mailing address
3036 ATLANTA HWY, DALLAS, GA 30132-5723
(770) 445-6606
(770) 443-1270

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN012980
GA
1223G0001X
General Practice Dentistry
Primary
GA8747
GA

Other

Enumeration date
10/12/2006
Last updated
06/30/2009
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