Organization
CANTON DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOGAN V GORDON (BUSINESS MANAGER)
(770) 479-5425
Entity
Organization
Contact information
Practice address
230 RIVERSTONE PKWY STE A, CANTON, GA 30114-6414
(770) 479-5425
Mailing address
230 RIVERSTONE PKWY STE A, CANTON, GA 30114-6414
(770) 479-5425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
GA012160
GA
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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