| Thomas W. Moorman, D.d.s., P.c. | |
|
1455 Old Mcdonough Hwy Se Ste B Conyers GA 30094-5979 | |
| (770) 483-6655 | |
| (770) 760-0269 |
| Full Name | Thomas W. Moorman, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1455 Old Mcdonough Hwy Se Ste B, Conyers, Georgia |
| Authorized Official Name and Position | Thomas William Moorman (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 7704836655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas W. Moorman, D.d.s., P.c. Po Box 80067 Conyers GA 30013-8067 Ph: (770) 483-6655 | Thomas W. Moorman, D.d.s., P.c. 1455 Old Mcdonough Hwy Se Ste B Conyers GA 30094-5979 Ph: (770) 483-6655 |
| NPI Number | 1669590121 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669590121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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