Advanced Dental Care

NPI 1104152404 - Dentist - 1223G0001X

NPI Details
NPI 1104152404
Enumeration Date 10/22/2009
Last Updated 10/22/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name WILLIAM ASHLEY WILLIAM
Position OWNER/DENTIST
Phone (229) 242-4441
Fax (229) 242-4471
Practice Location
3211 WILDWOOD PLANTATION DR
VALDOSTA GA, 31605-1042, US
Phone (229) 242-4441
Fax (229) 242-4471
Business Location
3211 WILDWOOD PLANTATION DR
VALDOSTA GA, 31605-1042, US
Phone (229) 242-4441
Fax (229) 242-4471
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number DN011637
Remove 1104152404 NPI Number
 

According to our database, Advanced Dental Care NPI is 1104152404, taxonomy code is 1223G0001X and license number is DN011637, license state is located at Georgia. Advanced Dental Care physically located at 3211 Wildwood Plantation Dr, Valdosta GA, 31605-1042. NPI Number 1033115704 has the healthcare provider type.

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1104152404 NPI number is provided on an as is basis without warranty of any kind. 1104152404 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Dental Care are for informational purposes only.