Dentures Direct
Dentist, General Practice in Gainesville, GA. Organization (NPI-2).
NPI number1992056550
StatusActive
Last updated in NPPESSep 24, 2012
Details
- NPI
- 1992056550
- Entity type
- Organization (NPI-2)
- Legal business name
- Dentures Direct
- Organization subpart
- No
- Enumeration date
- Sep 24, 2012
- Last updated
- Sep 24, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 11839 | GA | Yes |
| 1223G0001X | Dentist, General Practice | 013665 | GA |
Practice location
1026 Thompson Bridge RdGainesville, GA 30501-1704
Phone 770-287-0310 · Fax 770-297-8477
Mailing address
1026 Thompson Bridge RdGainesville, GA 30501-1704
Phone 770-287-0310 · Fax 770-297-8477
Authorized official
Kell Darren Gallaher
Owner
7702870310
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All 64 General Practice Dentistry providers in Gainesville · All 3,664 providers in Gainesville
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