Organization
DENTAL ARTS OF DALTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVERETT THOMAS LEWIS DMD (PRESIDENT)
(706) 278-4254
Entity
Organization
Contact information
Practice address
1305 BROADRICK DR, DALTON, GA 30720-3008
(706) 278-4254
Mailing address
PO BOX 1547, DALTON, GA 30722-1547
(706) 278-4254
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/27/2007
Last updated
08/22/2020
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