Heartland Dental Care Of Georgia

NPI 1003233107 - Dentist - 1223G0001X

NPI Details
NPI 1003233107
Enumeration Date 03/26/2014
Last Updated 03/26/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JEAN JEAN
Position CREDENTIALING COORDINATOR
Phone (770) 450-1689
Fax
Practice Location
3237 SIXES RD
CANTON GA, 30114, US
Phone (770) 450-1689
Fax
Business Location
3237 SIXES RD
CANTON GA, 30114, US
Phone (770) 450-1689
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Heartland Dental Care Of Georgia NPI is 1003233107, taxonomy code is 1223G0001X Heartland Dental Care Of Georgia physically located at 3237 Sixes Rd, Canton GA, 30114. NPI Number 1033115704 has the healthcare provider type.

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1003233107 NPI number is provided on an as is basis without warranty of any kind. 1003233107 is maintained by the National Plan & Provider Enumeration System. The contents of Heartland Dental Care Of Georgia are for informational purposes only.