Organization
SPECIAL CARE DENTAL OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT ELLINGTON DMD (OWNER)
(855) 259-9183
Entity
Organization
Contact information
Practice address
111 JOHN MADDOX DR NW, STE. 128, ROME, GA 30165-1419
(855) 259-9183
(502) 254-4086
Mailing address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 244-2441
(502) 254-4086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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