Denny L Malcom Dds Pc | |
133 Cherokee Rd Social Circle GA 30025-0443 | |
(770) 464-2636 | |
(770) 464-2636 |
Full Name | Denny L Malcom Dds Pc |
---|---|
Speciality | Dentist |
Location | 133 Cherokee Rd, Social Circle, Georgia |
Authorized Official Name and Position | Denny L Malcom (CEO) |
Authorized Official Contact | 7704642636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Denny L Malcom Dds Pc Po Box 443 Social Circle GA 30025-0443 Ph: (770) 464-2636 | Denny L Malcom Dds Pc 133 Cherokee Rd Social Circle GA 30025-0443 Ph: (770) 464-2636 |
NPI Number | 1215039292 |
---|---|
Provider Enumeration Date | 09/01/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215039292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN008060 (Georgia) | Primary |