| Dr. Amy S. Loden | |
|
1267 Russell Pkwy Warner Robins GA 31088-5582 | |
| (478) 923-0253 | |
| (478) 923-6906 |
| Full Name | Dr. Amy S. Loden |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1267 Russell Pkwy, Warner Robins, Georgia |
| Authorized Official Name and Position | Amy S. Loden (DENTIST) |
| Authorized Official Contact | 4789230253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Amy S. Loden 1267 Russell Pkwy Warner Robins GA 31088-5582 Ph: (478) 923-0253 | Dr. Amy S. Loden 1267 Russell Pkwy Warner Robins GA 31088-5582 Ph: (478) 923-0253 |
| NPI Number | 1386881712 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 01/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386881712 | NPI | - | NPPES |
| 227506320A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12866 (Georgia) | Primary |
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