Organization
LIFE POINT DENTAL ATHENS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HERR DDS (DENTIST OWNER)
(612) 414-9170
Entity
Organization
Contact information
Practice address
598 PRINCE AVE, ATHENS, GA 30601-2451
(706) 543-4952
Mailing address
660 WASHINGTON ST, JEFFERSON, GA 30549-1008
(706) 543-4952
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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