| Macon Periodontics And Implant Dentistry, Llc | |
|
1923 Hardeman Ave Macon GA 31201-1162 | |
| (478) 742-4254 | |
| (478) 742-1457 |
| Full Name | Macon Periodontics And Implant Dentistry, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1923 Hardeman Ave, Macon, Georgia |
| Authorized Official Name and Position | Kay Willis (BUSINESS COORDINATOR) |
| Authorized Official Contact | 4787424254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Macon Periodontics And Implant Dentistry, Llc 1923 Hardeman Ave Macon GA 31201-1162 Ph: (478) 742-4254 | Macon Periodontics And Implant Dentistry, Llc 1923 Hardeman Ave Macon GA 31201-1162 Ph: (478) 742-4254 |
| NPI Number | 1457606881 |
|---|---|
| Provider Enumeration Date | 07/23/2012 |
| Last Update Date | 07/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457606881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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