| Macon Dentist Office | |
|
206 Tom Hill Sr Blvd Suite 106 Macon GA 31210 | |
| (478) 654-3111 | |
| (478) 246-0074 |
| Full Name | Macon Dentist Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 206 Tom Hill Sr Blvd, Macon, Georgia |
| Authorized Official Name and Position | Katie L Mccann (OWNER) |
| Authorized Official Contact | 4786543111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Macon Dentist Office 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Macon Dentist Office 206 Tom Hill Sr Blvd Suite 106 Macon GA 31210 Ph: (478) 654-3111 |
| NPI Number | 1083074868 |
|---|---|
| Provider Enumeration Date | 03/07/2016 |
| Last Update Date | 03/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083074868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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