| Mitchell Bridge Dental Ii | |
|
1171 Mitchell Bridge Rd Ste A Athens GA 30606-6475 | |
| (706) 548-2651 | |
| (706) 543-1052 |
| Full Name | Mitchell Bridge Dental Ii |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1171 Mitchell Bridge Rd Ste A, Athens, Georgia |
| Authorized Official Name and Position | Melody Higginbotham (DR) |
| Authorized Official Contact | 7065482651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Bridge Dental Ii 1171 Mitchell Bridge Rd Ste A Athens GA 30606-6475 Ph: (706) 548-2651 | Mitchell Bridge Dental Ii 1171 Mitchell Bridge Rd Ste A Athens GA 30606-6475 Ph: (706) 548-2651 |
| NPI Number | 1083850150 |
|---|---|
| Provider Enumeration Date | 12/19/2008 |
| Last Update Date | 12/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083850150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN010077 (Georgia) | Primary |
| 261QD0000X | Clinic/center - Dental | DN012547 (Georgia) | Secondary |
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