| North Macon Dental Associates | |
|
4020 Elnora Dr Macon GA 31210-1823 | |
| (478) 477-1228 | |
| (478) 477-8695 |
| Full Name | North Macon Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 4020 Elnora Dr, Macon, Georgia |
| Authorized Official Name and Position | Debbie Kosater (MANAGER) |
| Authorized Official Contact | 4784771228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Macon Dental Associates 4020 Elnora Dr Macon GA 31210-1823 Ph: (478) 477-1228 | North Macon Dental Associates 4020 Elnora Dr Macon GA 31210-1823 Ph: (478) 477-1228 |
| NPI Number | 1225495245 |
|---|---|
| Provider Enumeration Date | 01/21/2016 |
| Last Update Date | 01/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225495245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN009476 (Georgia) | Primary |
| 122300000X | Dentist | DN012405 (Georgia) | Secondary |
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