| Donald A. Bethea, D.d.s., L.l.c. | |
|
410 Lister St Waycross GA 31501-5226 | |
| (912) 285-1218 | |
| Not Available |
| Full Name | Donald A. Bethea, D.d.s., L.l.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 410 Lister St, Waycross, Georgia |
| Authorized Official Name and Position | Donald Alan Bethea (DENITST/OWNER) |
| Authorized Official Contact | 9122851218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald A. Bethea, D.d.s., L.l.c. 410 Lister St Waycross GA 31501-5226 Ph: (912) 285-1218 | Donald A. Bethea, D.d.s., L.l.c. 410 Lister St Waycross GA 31501-5226 Ph: (912) 285-1218 |
| NPI Number | 1124432166 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 06/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124432166 | NPI | - | NPPES |
| 003143408A | Medicaid | GA | |
| 5440634 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN011225 (Georgia) | Primary |
William C Hurst, Sr., D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Lister St, Waycross, GA 31501 Phone: 912-285-1218 Fax: 912-285-9518 | |
Dr Andrew Lee Jackson Dmd Dr Celestine Vernedoe Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2009 Tebeau Street, Waycross, GA 31501 Phone: 912-283-1340 Fax: 912-283-0334 | |
William Keith Crummey Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Alice St, Suite B, Waycross, GA 31501 Phone: 912-285-5967 Fax: 912-285-0762 | |
Lucas And Thomas Family Dentistry, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Alice St, Waycross, GA 31501 Phone: 912-285-3140 Fax: 912-285-0260 | |
Jon A Drawdy Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Screven Avenue, Waycross, GA 31501 Phone: 912-285-0062 | |
Jon A Drawdy Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Screven Ave, Waycross, GA 31501 Phone: 912-285-0062 Fax: 912-285-5006 |