| Auburn Periodontics Of Columbus, Llc | |
|
400 Brookstone Centre Pkwy Ste 100 Columbus GA 31904-3640 | |
| (706) 222-7149 | |
| Not Available |
| Full Name | Auburn Periodontics Of Columbus, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 400 Brookstone Centre Pkwy Ste 100, Columbus, Georgia |
| Authorized Official Name and Position | Britany Fabian Matin (PRESIDENT, CEO) |
| Authorized Official Contact | 3344440571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Auburn Periodontics Of Columbus, Llc 400 Brookstone Centre Pkwy Ste 100 Columbus GA 31904-3640 Ph: (706) 222-7149 | Auburn Periodontics Of Columbus, Llc 400 Brookstone Centre Pkwy Ste 100 Columbus GA 31904-3640 Ph: (706) 222-7149 |
| NPI Number | 1770132581 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 09/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770132581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Secondary |
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