| Muscogee Dentistry, P.c. | |
|
3619 Calvin Dr Columbus GA 31904-7915 | |
| (706) 940-0528 | |
| (706) 940-0571 |
| Full Name | Muscogee Dentistry, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 3619 Calvin Dr, Columbus, Georgia |
| Authorized Official Name and Position | Andrea Shawnki Trice (PRESIDENT) |
| Authorized Official Contact | 7708809680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Muscogee Dentistry, P.c. 3619 Calvin Dr Columbus GA 31904-7915 Ph: (706) 940-0528 | Muscogee Dentistry, P.c. 3619 Calvin Dr Columbus GA 31904-7915 Ph: (706) 940-0528 |
| NPI Number | 1013379163 |
|---|---|
| Provider Enumeration Date | 03/27/2016 |
| Last Update Date | 03/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013379163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN013193 (Georgia) | Primary |
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