| Middle Georgia Oral And Maxillofacial Surgery Llc | |
|
117 S Calhoun St Dublin GA 31021-5245 | |
| (706) 340-3408 | |
| Not Available |
| Full Name | Middle Georgia Oral And Maxillofacial Surgery Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 117 S Calhoun St, Dublin, Georgia |
| Authorized Official Name and Position | Glendon William Smalley (ORAL SURGEON) |
| Authorized Official Contact | 7063403408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middle Georgia Oral And Maxillofacial Surgery Llc 401 Crest Dr Birmingham AL 35209-5525 Ph: (478) 290-7275 | Middle Georgia Oral And Maxillofacial Surgery Llc 117 S Calhoun St Dublin GA 31021-5245 Ph: (706) 340-3408 |
| NPI Number | 1942862859 |
|---|---|
| Provider Enumeration Date | 07/01/2019 |
| Last Update Date | 07/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942862859 | NPI | - | NPPES |
| DN014148 | Other | GA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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