Chattahoochee Dental Associates
Dentist, General Practice in Cleveland, GA. Organization (NPI-2).
NPI number1114009883
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1114009883
- Entity type
- Organization (NPI-2)
- Legal business name
- Chattahoochee Dental Associates
- Organization subpart
- No
- Enumeration date
- Oct 20, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1018 S Main St # Hwy129Cleveland, GA 30528-1419
Phone 706-865-0357
Mailing address
Po Box 353Maysville, GA 30558-0353
Phone 706-865-0357
Authorized official
Brandy Hoffman
Operations Manager
7703101605
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