Claxton Family Dentistry LLC
Organization Active NPI Dentist · Glennville, GA
NPI 1760044242 · NPPES record last updated Jul 3, 2019
Key facts
- NPI
- 1760044242
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- CLAXTON FAMILY DENTISTRY LLC
- Practice address
- 402 N Veterans Blvd
Glennville, GA 30427-2054 - Phone
- (912) 559-0120
- NPI assigned
- Jul 3, 2019
- Organization subpart
- No
Authorized official
- Name
- Zackary L. Bentley
- Title
- Owner
- Phone
- (912) 557-6307
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Claxton Family Dentistry LLC
Locations
402 N Veterans Blvd
Glennville, GA 30427
Phone (912) 559-0120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
402 N Veterans Blvd
Glennville, GA 30427-2054
Mailing address
402 N Veterans Blvd
Glennville, GA 30427-2054
Phone (912) 559-0120
Other names
- Glennville Family Dentistry
Other providers in Glennville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.