| Advanced Dental Care | |
|
3211 Wildwood Plantation Dr Valdosta GA 31605-1042 | |
| (229) 242-4441 | |
| (229) 242-4471 |
| Full Name | Advanced Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3211 Wildwood Plantation Dr, Valdosta, Georgia |
| Authorized Official Name and Position | William Ashley Moorman (OWNER/DENTIST) |
| Authorized Official Contact | 2292424441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Care 3211 Wildwood Plantation Dr Valdosta GA 31605-1042 Ph: (229) 242-4441 | Advanced Dental Care 3211 Wildwood Plantation Dr Valdosta GA 31605-1042 Ph: (229) 242-4441 |
| NPI Number | 1104152404 |
|---|---|
| Provider Enumeration Date | 10/22/2009 |
| Last Update Date | 10/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104152404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN011637 (Georgia) | Primary |
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