Organization
ABERDEEN DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON L FLEMING II D.D.S. (PARTNER/OWNER)
(770) 487-8298
Entity
Organization
Contact information
Practice address
300 NORTHLAKE DR, PEACHTREE CITY, GA 30269-3524
(770) 487-8298
(770) 487-5372
Mailing address
300 NORTHLAKE DR, PEACHTREE CITY, GA 30269-3524
(770) 487-8298
(770) 487-5372
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00045812A
—
GA
01
—
113706
UNITED CONCORDIA
—
Enumeration date
03/15/2006
Last updated
08/22/2020
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