Organization
GEORGIA HIGHLANDS COLLEGE
Active
Other names
Dental Hygiene Program
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MCDANIEL D.M.D. (SUPERVISING DENTIST)
(706) 295-6760
Entity
Organization
Contact information
Practice address
415 E 3RD AVE, ROME, GA 30161-3241
(706) 295-6760
Mailing address
415 E 3RD AVE, ROME, GA 30161-3241
(706) 295-6760
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DNF000218
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DNF000218
STATE DENTAL LICENSE
GA
Enumeration date
05/01/2008
Last updated
05/01/2008
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