Pine Mountain Family Dentistry, Llc is a Dental Clinic in Pine Mountain, Georgia. It is located at 8944 Hamilton Road, Pine Mountain, GA and its contact number is 706-663-2272. The authorized person for Pine Mountain Family Dentistry, Llc is Dr. Sidney Dauster Harden Iii
who is Dentist of the clinic and their contact number is 706-663-2272. The primary license number for Pine Mountain Family Dentistry, Llc is DNO12733 (Dentist) in Georgia. Pine Mountain Family Dentistry, Llc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Pine Mountain Family Dentistry, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Pine Mountain Family Dentistry, Llc
Specialization:
Dentistry
Clinic Address:
8944 Hamilton Road, Pine Mountain, Georgia, 31822
Phone:
706-663-2272
Fax:
706-663-2075
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:
Dr. Sidney Dauster Harden Iii
Position:
Dentist
Contact Number:
706-663-2272
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 Pine Mountain Family Dentistry, Llc clinic are as mentioned below.
NPI Number:
1780915165
NPI Enumeration Date:
25 Jan, 2010
NPI Last Update On:
25 Jan, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pine Mountain Family Dentistry, Llc are as mentioned below.
Specialization
License Number
State
Status
Dentist
DNO12733
Georgia
Primary
Dentist
DNO08005
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
000045295A
Medicaid
Georgia
594312970B
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:
Pine Mountain Family Dentistry, Llc P.o. Box 1176, Pine Mountain, Georgia
Zip:
31822-4707
Phone Number:
706-663-2272
Fax Number:
706-663-2075
Patients can reach Pine Mountain Family Dentistry, Llc at 8944 Hamilton Road, Pine Mountain, Georgia or can call to book an appointment on 706-663-2272. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.