Organization · Type 2 NPI

Heartland Dental Care of Georgia

General Practice Dentistry · Fayetteville, GA

NPI number 1407122799 Active

Practice location

290 Highway 314 Ste A
Fayetteville, GA 30214-7813

Fax (770) 461-0541

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other general practice dentistry providers in Fayetteville

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NPI record

NPI: 1407122799
Entity type: Organization (Type 2)
Issued: Mar 30, 2012
Last updated: Mar 30, 2012
Status: Active
Subpart: Yes of Heartland Dental Care of Georgia

Other names

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Clairmont Dental Associates · doing business as

Authorized official

Kelli Walker
Insurance/credentialing
(217) 540-5100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407122799

Heartland Dental Care of Georgia's National Provider Identifier is 1407122799, issued on Mar 30, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fayetteville, GA. The record was last updated on Mar 30, 2012.