Northeast Georgia Dental Group

NPI 1013121359 - Dentist - 1223G0001X

NPI Details
NPI 1013121359
Enumeration Date 05/09/2007
Last Updated 10/19/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICHARD G. RICHARD
Position OWNER
Phone (770) 532-4555
Fax
Practice Location
1200 SHERWOOD PARK DR NE
GAINESVILLE GA, 30501-3445, US
Phone (770) 532-4555
Fax
Business Location
1200 SHERWOOD PARK DR NE
GAINESVILLE GA, 30501-3445, US
Phone (770) 532-4555
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number DN011850
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According to our database, Northeast Georgia Dental Group NPI is 1013121359, taxonomy code is 1223G0001X and license number is DN011850, license state is located at Georgia. Northeast Georgia Dental Group physically located at 1200 Sherwood Park Dr Ne, Gainesville GA, 30501-3445. NPI Number 1033115704 has the healthcare provider type.

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1013121359 NPI number is provided on an as is basis without warranty of any kind. 1013121359 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Georgia Dental Group are for informational purposes only.