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Organization

SWAINSBORO DENTAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHAD THOMAS DMD (OWNER)
(478) 237-5330
Entity
Organization

Contact information

Practice address
223 N GREEN ST, SWAINSBORO, GA 30401-3219
(912) 690-3675
Mailing address
PO BOX 1106, SWAINSBORO, GA 30401
(478) 237-5330

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN014821
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003148545A
GA
05
003148545B
GA
Enumeration date
07/31/2017
Last updated
09/11/2018
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