Organization
PATRIOTS PARK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MORENO DDS (OWNER)
(706) 664-0744
Entity
Organization
Contact information
Practice address
2054 WARRIOR WAY, GROVETOWN, GA 30813-8132
(706) 664-0744
(706) 664-0747
Mailing address
2054 WARRIOR WAY, GROVETOWN, GA 30813-8132
(706) 664-0744
(706) 664-0747
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/30/2013
Last updated
06/17/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us