| |
3312 Northside Dr Bldg A Suite 160 Macon GA 31210-2500 | |
(478) 471-9300 | |
(478) 471-9796 |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 3312 Northside Dr, Macon, Georgia |
Authorized Official Name and Position | Robert Zayas (MANAGER) |
Authorized Official Contact | 7063427272 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1828 Jonesboro Rd Mcdonough GA 30253-5960 Ph: (678) 432-8505 | 3312 Northside Dr Bldg A Suite 160 Macon GA 31210-2500 Ph: (478) 471-9300 |
NPI Number | 1215161237 |
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Provider Enumeration Date | 05/05/2009 |
Last Update Date | 05/05/2009 |
Identifier | Type | State | Issuer |
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1215161237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 011309 (Georgia) | Primary |
Central Georgia Oral And Maxillofacial Surgery, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 First St., Macon, GA 31201 Phone: 478-745-0200 | |
Ga Southern Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3298 Northside Dr, Macon, GA 31210 Phone: 478-475-1976 | |
Pediatric Dentistry Of Central Georgia - Macon Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5437 Bowman Rd Ste 300, Macon, GA 31210 Phone: 478-333-3636 | |
Hartley Bridge Family Dentistry Dental Clinic Medicare: Medicare Enrolled Practice Location: 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 Phone: 478-957-2486 |