Organization · Type 2 NPI

Georgia Dental Associates, LLC

Dental Clinic/Center · Tifton, GA

NPI number 1619516002 Active

Practice location

315 14th St E
Tifton, GA 31794-4018

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

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About NPI 1619516002

Georgia Dental Associates, LLC's National Provider Identifier is 1619516002, issued on Jan 2, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tifton, GA. The record was last updated on Jan 25, 2022.