11

wdt_ID	Provider	Medicaid	IV Sedation	Address	City	State	Zip
1	DOGWOOD PEDIATRIC DENTISTRY OF SAVANAH	Y	H	4849 Paulsen Street Suite 101	Savannah	GA	31405
2	DOGWOOD PEDIATRIC DENTISTRY OF STATESBORO	Y	H	123 Hill Pond Lane	Statesboro	GA	30458
3	STATESBORO PEDIATRIC DENTISTRY	Y	H	613 E Grady Street	Statesboro	GA	30458
4	SURFSIDE KIDS PEDIATRIC DENTISTRY	Y	H	135 Cedar Street	Richmond Hill	GA	31324
5	DOGWOOD PEDIATRIC DENTISTRY OF POOLER	Y	H	100 Blue Moon Xing Suite 105	Pooler	GA	31322
6	SIMPLY CHILDRENS DENTISTRY	Y	N	613 Stephenson Avenue Suite 201	Savannah	GA	31405
7	DENTISTRY FOR CHILDREN SAVANNAH	Y	H	5901 Abercorn Street	Savannah	GA	31405
8	SPINNAKER PEDIATRIC DENTISTRY OF HINESVILLE	Y	O/H	4700 Waters Avenue	Savannah	GA	31404
9	CLAXTON SMILES	Y	O/H	429 N Duval St	Claxton	GA	30417
10	BRAY AND YOUNG	Y	H	2 Lestor Court	Stateboro	GA	30458
	Provider	Medicaid	IV Sedation	Address	City	State	Zip