| Pediatric Dentistry Of Central Georgia - Macon Llc | |
|
5437 Bowman Rd Ste 300 Macon GA 31210-6575 | |
| (478) 333-3636 | |
| Not Available |
| Full Name | Pediatric Dentistry Of Central Georgia - Macon Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5437 Bowman Rd Ste 300, Macon, Georgia |
| Authorized Official Name and Position | Shannon Battle (PRACTICE MANAGER) |
| Authorized Official Contact | 4783333636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Central Georgia - Macon Llc 900 Professional Dr Warner Robins GA 31088-0520 Ph: (478) 333-3636 | Pediatric Dentistry Of Central Georgia - Macon Llc 5437 Bowman Rd Ste 300 Macon GA 31210-6575 Ph: (478) 333-3636 |
| NPI Number | 1073083127 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 12/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073083127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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