NPI 1003296633

Allred Family Dentistry

Organisation Dental Clinic/Center Griffin, GA

Practice location

Address: 743 S 8th St, Griffin, GA 30224-4818
Phone: (770) 228-6101
Mailing address: 743 South 8th Street, Griffin, GA 30224

Authorised official

Name: Marc Brandon Allred
Title: Part Owner
Phone: (770) 946-3576

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence DN014960 (GA)

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Registry record

NPI: 1003296633
Entity type: Organization
NPI issued: 9 Jun 2015
Record last updated: 11 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.