| Royal Dental Group | |
|
821 Dawsonville Hwy Ste 150 Gainesville GA 30501-2634 | |
| (770) 503-7130 | |
| (770) 503-7131 |
| Full Name | Royal Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 821 Dawsonville Hwy Ste 150, Gainesville, Georgia |
| Authorized Official Name and Position | Katashia Holmes (DENTIST) |
| Authorized Official Contact | 7705037130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal Dental Group 821 Dawsonville Hwy Ste 150 Gainesville GA 30501-2634 Ph: (770) 503-7130 | Royal Dental Group 821 Dawsonville Hwy Ste 150 Gainesville GA 30501-2634 Ph: (770) 503-7130 |
| NPI Number | 1063651511 |
|---|---|
| Provider Enumeration Date | 02/06/2009 |
| Last Update Date | 02/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063651511 | NPI | - | NPPES |
| 199726296A | Medicaid | GA | |
| 199726296E | Medicaid | GA | |
| 199726296F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012868 (Georgia) | Primary |
| 1223G0001X | Dentist - General Practice | DN013188 (Georgia) | Secondary |
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