Eaglin Dental Group, Fayetteville is a 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 caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health 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:
General Practice 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.