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Nova Dental, Pc
Dental Clinic/Center in Tyrone, Georgia
NPI 1346582566

Nova Dental, Pc is a Dental Clinic/Center based in Newnan, GA and is specialized in Dental. Nova Dental, Pc practices in Tyrone, GA. The NPI Number for Nova Dental, Pc is 1346582566 and holds a License No. DN013488 (Georgia).

The current practice location address for Nova Dental, Pc is 1134 Senoia Rd Ste A2, Tyrone, GA and can be reached out via phone at 770-253-5885.

Location: 1134 Senoia Rd Ste A2, Tyrone, GA, 30263-7069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346582566
Provider Name
Nova Dental, Pc
Credential
Provider Entity Type
Organization
Address
1134 Senoia Rd Ste A2, Tyrone, GA, 30263-7069
Phone Number
770-253-5885
Fax Number
Provider Enumeration Date
03/26/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
S01262012767946 05 GA
institution
Provider Business Practice Location Address Details
Address
1134 Senoia Rd Ste A2
City
Tyrone
State
Georgia
Zip
30290-1622
Phone Number
770-253-5885
Fax Number
person
Provider Business Mailing Address Details
Address
1134 Senoia Rd Ste A2
City
Tyrone
State
Georgia
Zip
30290-1622
Phone Number
770-253-5885
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DN013488 (Georgia)
Definition
Definition to come...
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