Eaglin Dental Group, Fayetteville
Pediatric Dental Clinic
692 Glynn St N Ste S, Fayetteville
Georgia, 30214-6705
770-716-2701 770-716-2718
Maps & DirectionsEaglin Dental Group, Fayetteville is a Pediatric Dental Clinic in Fayetteville, Georgia. It is located at 692 Glynn St N Ste S, Fayetteville, GA and its contact number is 770-716-2701. The authorized person for Eaglin Dental Group, Fayetteville is Mrs. Tracie Denney
who is Owner of the clinic and their contact number is 770-716-2701. The primary license number for Eaglin Dental Group, Fayetteville is DN013169 (General Practice) in Georgia.
Eaglin Dental Group, Fayetteville Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Eaglin Dental Group, Fayetteville Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Eaglin Dental Group, Fayetteville |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 692 Glynn St N Ste S, Fayetteville,
Georgia, 30214-6705 |
| Phone: | 770-716-2701 |
| Fax: | 770-716-2718 |
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. Tracie Denney |
| Position: | Owner |
| Contact Number: | 770-716-2701 |
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 Eaglin Dental Group, Fayetteville clinic are as mentioned below.
| NPI Number: | 1134405848 |
| NPI Enumeration Date: | 26 Oct, 2011 |
| NPI Last Update On: | 10 May, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eaglin Dental Group, Fayetteville are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | DN013169 | Georgia | Primary | |
| Pediatric Dentistry | DN013169 | Georgia | Secondary | |
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 |
| 777472578D | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Eaglin Dental Group, Fayetteville
692 Glynn St N Ste S,
Fayetteville, Georgia |
| Zip: | 30214-6705 |
| Phone Number: | 770-716-2701 |
| Fax Number: | 770-716-2718 |
Patients can reach Eaglin Dental Group, Fayetteville at
692 Glynn St N Ste S, Fayetteville, Georgia or can
call to book an appointment on 770-716-2701.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.