| NPI | 1699535963 |
|---|---|
| Doing Business As | PARKWAY PERIODONTICS, LASER AND IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CASEY CASTLE Director Of Payor Contracting 912-732-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2026-02-23 |