GEORGIA DENTAL ASSOCIATES LLC NPI 1619516002

NPI Information

GEORGIA DENTAL ASSOCIATES, LLC is a dental clinic center in Tifton, GA. GEORGIA DENTAL ASSOCIATES, LLC NPI is 1619516002. The provider is registered as an organization entity type.
The provider Is Doing Business As Georgia Dental Associates Of Tifton.

The provider's business location address is:

315 14TH ST E
TIFTON, GA
ZIP 31794-018
Phone: (229) 313-5083

The provider's authorized official is Nettie S Hatcher .
The authorized official title is DIRECTOR OF OPERATIONSOperations and has the following contact phone number (229) 848-2685.

The CLIA number assigned to this NPI record is 11D0937394 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/2/2020 and was last updated on 1/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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