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Eaglin Dental Group, Fayetteville
Pediatric Dentist in Fayetteville, Georgia
NPI 1134405848

Eaglin Dental Group, Fayetteville is a Pediatric Dentist based in Fayetteville, GA and is specialized in Pediatric Dentistry. Eaglin Dental Group, Fayetteville practices in Fayetteville, GA. The NPI Number for Eaglin Dental Group, Fayetteville is 1134405848 and holds a License No. DN013169 (Georgia).

The current practice location address for Eaglin Dental Group, Fayetteville is 692 Glynn St N Ste S, Fayetteville, GA and can be reached out via phone at 770-716-2701 and via fax at 770-716-2718.

Location: 692 Glynn St N Ste S, Fayetteville, GA, 30214-6705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134405848
Provider Name
Eaglin Dental Group, Fayetteville
Credential
Provider Entity Type
Organization
Address
692 Glynn St N Ste S, Fayetteville, GA, 30214-6705
Phone Number
770-716-2701
Fax Number
770-716-2718
Provider Enumeration Date
10/26/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
777472578D 05 GA
institution
Provider Business Practice Location Address Details
Address
692 Glynn St N Ste S
City
Fayetteville
State
Georgia
Zip
30214-6705
Phone Number
770-716-2701
Fax Number
770-716-2718
person
Provider Business Mailing Address Details
Address
692 Glynn St N Ste S
City
Fayetteville
State
Georgia
Zip
30214-6705
Phone Number
770-716-2701
Fax Number
770-716-2718
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN013169 (Georgia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN013169 (Georgia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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