Bethlehem Dentistry, LLC

Organization Active NPI General Practice Dentistry · Bethlehem, GA

NPI 1518445683 · NPPES record last updated Aug 1, 2018

Key facts

NPI
1518445683
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
BETHLEHEM DENTISTRY, LLC
Practice address
255 Gateway Drive
Suite 200
Bethlehem, GA 30620
Phone
(678) 963-5790
Fax
(678) 963-5790
NPI assigned
Aug 1, 2018
Organization subpart
No

Authorized official

Name
Dr. Brandon L. Esco, DMD
Title
Owner/Dentist
Phone
(678) 963-5790

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

255 Gateway Dr
Ste 20
Bethlehem, GA 30620

255 Gateway Dr
Ste 200
Bethlehem, GA 30620
Phone (678) 963-5790

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

255 Gateway Drive
Suite 200
Bethlehem, GA 30620

Mailing address

255 Gateway Drive
Suite 20
Bethlehem, GA 30620
Phone (678) 963-5790

Other providers in Bethlehem, GA

All providers in Bethlehem, GA · General Practice Dentistry in Georgia

Sources for this page

Verify at the official NPI Registry.