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Grimsley Dental Clinic, Llc
Dental Clinic/Center in Colquitt, Georgia
NPI 1265681092

Grimsley Dental Clinic, Llc is a Dental Clinic/Center based in Colquitt, GA and is specialized in Dental. Grimsley Dental Clinic, Llc practices in Colquitt, GA. The NPI Number for Grimsley Dental Clinic, Llc is 1265681092 and holds a License No. DN013335 (Georgia).

The current practice location address for Grimsley Dental Clinic, Llc is 115 N Cuthbert St, Colquitt, GA and can be reached out via phone at 229-758-3345 and via fax at 229-758-3339.

Location: 115 N Cuthbert St, Colquitt, GA, 39837-3401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265681092
Provider Name
Grimsley Dental Clinic, Llc
Credential
Provider Entity Type
Organization
Address
115 N Cuthbert St, Colquitt, GA, 39837-3401
Phone Number
229-758-3345
Fax Number
229-758-3339
Provider Enumeration Date
09/17/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300014425A 05 GA
institution
Provider Business Practice Location Address Details
Address
115 N Cuthbert St
City
Colquitt
State
Georgia
Zip
39837-3401
Phone Number
229-758-3345
Fax Number
229-758-3339
person
Provider Business Mailing Address Details
Address
115 N Cuthbert St
City
Colquitt
State
Georgia
Zip
39837-3401
Phone Number
229-758-3345
Fax Number
229-758-3339
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DN013335 (Georgia)
Definition
Definition to come...
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