Organization
COWETA DENTAL SLEEP THERAPY LLC
Active
Parent organization
COWETA DENTAL SLEEP THERAPY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COWETA DENTAL SLEEP THERAPY LLC
Authorized official
DR. CLEMMIE TODD COX D.M.D (OWNER/DENTIST)
(770) 486-9400
Entity
Organization
Contact information
Practice address
260 S PEACHTREE PKWY, PEACHTREE CITY, GA 30269-1700
(770) 486-9400
(770) 252-6818
Mailing address
260 S PEACHTREE PKWY, PEACHTREE CITY, GA 30269-1700
(770) 486-9400
(770) 252-6818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011313
GA
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/08/2017
Last updated
05/20/2019
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