| Southern Orthodontics | |
|
12 Long Leaf Office Park Moultrie GA 31768-6780 | |
| (229) 985-4715 | |
| (229) 985-0997 |
| Full Name | Southern Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12 Long Leaf Office Park, Moultrie, Georgia |
| Authorized Official Name and Position | J Gregory Morris (PRESIDENT) |
| Authorized Official Contact | 2299854715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Orthodontics 12 Long Leaf Office Park Moultrie GA 31768-6780 Ph: (229) 985-4715 | Southern Orthodontics 12 Long Leaf Office Park Moultrie GA 31768-6780 Ph: (229) 985-4715 |
| NPI Number | 1548473754 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548473754 | NPI | - | NPPES |
| 11208 | Other | GA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 11208 (Georgia) | Primary |
Jeffery P. Barnett, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Sweet Bay Ct, Suite A, Moultrie, GA 31768 Phone: 229-985-3367 Fax: 229-890-8129 | |
Moultrie Orthodontics, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Longleaf Office Park, Moultrie, GA 31768 Phone: 229-985-4715 Fax: 229-985-0997 | |
Farrey Family Dentistry Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 513 S Main St, Moultrie, GA 31768 Phone: 229-890-3908 Fax: 229-890-3909 | |
Perfect Smile Usa Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 5th St Se, Moultrie, GA 31768 Phone: 229-985-5092 Fax: 229-985-0138 | |
Timothy B Fagan Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Longleaf Office Park, Moultrie, GA 31768 Phone: 229-985-4674 Fax: 229-985-0900 |