Organization
NEWNAN PERIODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAGAN L FALER DMD (OWNER)
(770) 252-0029
Entity
Organization
Contact information
Practice address
1635 HIGHWAY 34 E STE A, NEWNAN, GA 30265-2173
(770) 252-0029
(770) 252-0091
Mailing address
1635 HIGHWAY 34 E STE A, NEWNAN, GA 30265-2173
(770) 252-0029
(770) 252-0091
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/22/2017
Last updated
07/21/2022
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