Provider Demographics
NPI:1295942886
Name:AYERS, BETSY STYLES (DMD)
Entity type:Individual
Prefix:DR
First Name:BETSY
Middle Name:STYLES
Last Name:AYERS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 DIXIE ST
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-3921
Mailing Address - Country:US
Mailing Address - Phone:770-834-9682
Mailing Address - Fax:770-836-0622
Practice Address - Street 1:409 DIXIE ST
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-3921
Practice Address - Country:US
Practice Address - Phone:770-834-9682
Practice Address - Fax:770-836-0622
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA010873122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist