Dentrust, P.C.

General Practice Dentistry · Ft.Stewart, GA

Organization Active NPI

NPI number 1932876950

Practice location

112 Vilseck Rd
Ft.Stewart, GA 31315
Phone
(267) 927-5000

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NPI record

NPI
1932876950
Entity type
Organization (Type 2)
Enumeration date
August 26, 2021
Last updated
August 26, 2021
Certified
August 10, 2021
Organization subpart
Yes
Parent organization
Dentrust PC

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Mailing address

1221 Vinewood Dr
Seffner, FL 33584-4829
Phone
(813) 451-4503

Authorized official

Name
Amanda Anne Clark
Title
Director of Credentialing
Phone
(267) 927-5000

Other names

  • Dentrust Dental Ft. Stewart

About Dentrust, P.C.

Dentrust, P.C. is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 112 Vilseck Rd, Ft.Stewart, GA 31315. The NPI number 1932876950 was assigned on August 26, 2021 and the record was last updated on August 26, 2021.

The authorized official for this organization is Amanda Anne Clark, Director of Credentialing.

Frequently asked questions

What is the NPI number of Dentrust, P.C.?

The NPI number is 1932876950.

What is the phone number of Dentrust, P.C.?

The phone number listed for the practice location is (267) 927-5000.

Where is Dentrust, P.C. located?

112 Vilseck Rd, Ft.Stewart, GA 31315.

What is the taxonomy code for Dentrust, P.C.?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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