Bray, Dmd & Young, Dmd, Pc | |
2 Lester Ct Statesboro GA 30458-2118 | |
(912) 489-1386 | |
(912) 764-8533 |
Full Name | Bray, Dmd & Young, Dmd, Pc |
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Speciality | Dentist - General Practice |
Location | 2 Lester Ct, Statesboro, Georgia |
Authorized Official Name and Position | Cecil B Bray (PRESIDENT) |
Authorized Official Contact | 9124891386 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bray, Dmd & Young, Dmd, Pc 715 Northside Dr E Suite 5, Pmb 395 Statesboro GA 30458-4712 Ph: (912) 489-1386 | Bray, Dmd & Young, Dmd, Pc 2 Lester Ct Statesboro GA 30458-2118 Ph: (912) 489-1386 |
NPI Number | 1134235609 |
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Provider Enumeration Date | 08/21/2006 |
Last Update Date | 11/06/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134235609 | NPI | - | NPPES |
00328622B | Medicaid | GA | |
00328314B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 9793 (Georgia) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | 10099 (Georgia) | Secondary |
Bulloch Oral And Maxillofacial Surgery And Dental Implant Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Florence Ave, Statesboro, GA 30458 Phone: 912-764-7500 Fax: 912-764-7503 | |
Les J. Kicklighter, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 Gentilly Rd, Statesboro, GA 30458 Phone: 912-489-4151 | |
East Georgia Oral & Maxillofacial Surgery Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 E Grady St, Statesboro, GA 30458 Phone: 912-764-5435 Fax: 912-764-9789 | |
East Georgia Center For Oral & Facial Surgery Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1222 Brampton Ave, Statesboro, GA 30458 Phone: 912-764-5435 Fax: 912-764-9789 | |
Jason R. Mcgibony, Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 378 Savannah Ave, Statesboro, GA 30458 Phone: 912-764-4403 Fax: 912-764-7210 | |
Bulloch Oral And Maxillofacial Surgery And Dental Implant Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Florence Ave, Statesboro, GA 30458 Phone: 912-408-7100 |