is a Oral and Maxillofacial Dental Clinic in Dalton, Georgia. It is located at 1107 Memorial Dr, Ste. 101, Dalton, GA and its contact number is 706-277-9393. The authorized person for is Mrs. Misty Dawn James
who is Practice Manager of the clinic and their contact number is 706-277-9393. The primary license number for is 011433 (Oral and Maxillofacial Surgery) in Georgia. Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
1107 Memorial Dr, Ste. 101, Dalton, Georgia, 30720-8662
Phone:
706-277-9393
Fax:
706-277-9628
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Misty Dawn James
Position:
Practice Manager
Contact Number:
706-277-9393
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1124287552
NPI Enumeration Date:
02 Jun, 2008
NPI Last Update On:
02 Jun, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
011433
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000678917A
Medicaid
Georgia
9180202
Other
Georgia
Doral Dental
954599
Other
Georgia
United Concordia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1107 Memorial Dr, Ste. 101 Dalton, Georgia
Zip:
30720-8662
Phone Number:
706-277-9393
Fax Number:
706-277-9628
Patients can reach at 1107 Memorial Dr, Ste. 101, Dalton, Georgia or can call to book an appointment on 706-277-9393. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.