Organization · Type 2 NPI
Georgia Dental Studio LLC
Dental Clinic/Center · Jersey, GA
NPI number
1619640083
Active
Practice location
150 Main Street
Jersey, GA 30018
Fax (770) 464-3626
Mailing address
PO Box 260
Jersey, GA 30018-0260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1619640083
Georgia Dental Studio LLC's National Provider Identifier is 1619640083, issued on Jul 30, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Jersey, GA. The record was last updated on Apr 1, 2025.