institution
Providence Dental Spa Of Newnan, Llc
Dental Clinic/Center in Newnan, Georgia
NPI 1679231831

Providence Dental Spa Of Newnan, Llc is a Dental Clinic/Center based in Macon, GA and is specialized in Dental. Providence Dental Spa Of Newnan, Llc practices in Newnan, GA. The NPI Number for Providence Dental Spa Of Newnan, Llc is 1679231831 and holds a License No. (Georgia).

The current practice location address for Providence Dental Spa Of Newnan, Llc is 166 Jefferson Pkwy, Newnan, GA and can be reached out via phone at 770-252-1300 and via fax at 770-252-1763. You can also correspond with Providence Dental Spa Of Newnan, Llc through the mailing address at 225 N MACON ST, MACON, GA - 31210-6562 (mailing address contact number: 478-733-0857).

Location: 166 Jefferson Pkwy, Newnan, GA, 31210-6562
institution
Provider Profile Details
NPI Number
1679231831
Provider Name
Providence Dental Spa Of Newnan, Llc
Credential
Provider Entity Type
Organization
Address
166 Jefferson Pkwy, Newnan, GA, 31210-6562
Phone Number
770-252-1300
Fax Number
770-252-1763
Provider Enumeration Date
12/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
166 Jefferson Pkwy
City
State
Zip
30263-5822
Phone Number
770-252-1300
Fax Number
770-252-1763
person
Provider Business Mailing Address Details
Address
166 Jefferson Pkwy
City
State
Zip
30263-5822
Phone Number
770-252-1300
Fax Number
770-252-1763
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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