Calhoun Dentistry, LLC
Dentist, General Practice in Calhoun, GA. Organization (NPI-2).
NPI number1558773218
StatusActive
Last updated in NPPESMay 28, 2014
Details
- NPI
- 1558773218
- Entity type
- Organization (NPI-2)
- Legal business name
- Calhoun Dentistry, LLC
- Organization subpart
- No
- Enumeration date
- May 28, 2014
- Last updated
- May 28, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN013184 | GA | Yes |
Other names
- Calhoun Family Dentsitry (Doing Business As)
Practice location
908 Red Bud Rd NeCalhoun, GA 30701-1969
Phone 706-629-8822 · Fax 706-629-8893
Mailing address
Po Box 906Calhoun, GA 30703-0906
Phone 706-629-8822 · Fax 706-629-8893
Authorized official
Ravi P Mereddy
Owner
7066298822
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