| Oglethorpedental Center | |
|
1248 Oglethorpe St Macon GA 31201-1703 | |
| (478) 743-5856 | |
| (478) 745-7953 |
| Full Name | Oglethorpedental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1248 Oglethorpe St, Macon, Georgia |
| Authorized Official Name and Position | Franklin Brent Davis (PRESIDENT) |
| Authorized Official Contact | 4787435856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oglethorpedental Center 1248 Oglethorpe St Macon GA 31201-1703 Ph: (478) 743-5856 | Oglethorpedental Center 1248 Oglethorpe St Macon GA 31201-1703 Ph: (478) 743-5856 |
| NPI Number | 1245384221 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 09/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245384221 | NPI | - | NPPES |
| 000439788A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10885 (Georgia) | Primary |
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