| South Georgia Periodontics, Pc | |
|
307 Georgetown Cir Valdosta GA 31602-4113 | |
| (229) 247-0437 | |
| (229) 242-4395 |
| Full Name | South Georgia Periodontics, Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 307 Georgetown Cir, Valdosta, Georgia |
| Authorized Official Name and Position | Brent B. Depta (OWNER) |
| Authorized Official Contact | 2292470437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Georgia Periodontics, Pc 307 Georgetown Cir Valdosta GA 31602-4113 Ph: (229) 247-0437 | South Georgia Periodontics, Pc 307 Georgetown Cir Valdosta GA 31602-4113 Ph: (229) 247-0437 |
| NPI Number | 1194981910 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194981910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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Ronald K. Reagin, Jr. D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2309 N Patterson St, Valdosta, GA 31602 Phone: 229-244-4656 | |
South Georgia Pediatric Denitstry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3227 N Oak Street Ext, Suite A, Valdosta, GA 31605 Phone: 229-247-3200 | |
Advanced Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3211 Wildwood Plantation Dr, Valdosta, GA 31605 Phone: 229-242-4441 Fax: 229-242-4471 | |
C Heather Colson Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 N Patterson St, Valdosta, GA 31602 Phone: 229-242-2449 Fax: 229-242-2699 | |
North Valdosta Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 Northwood Park Dr, Valdosta, GA 31602 Phone: 229-242-0825 Fax: 229-242-0167 | |
Affordable Dentures & Implants - Valdosta Iv, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 282 Norman Dr Ste D, Valdosta, GA 31601 Phone: 229-241-7319 | |
Valdosta Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 W Cranford Ave, Valdosta, GA 31602 Phone: 229-249-0717 Fax: 229-249-0799 |