Brooks Dental Associates

NPI 1023301348 - Dentist - 122300000X

NPI Details
NPI 1023301348
Enumeration Date 05/19/2011
Last Updated 05/19/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name CHARLES P CHARLES
Position OWNER
Phone (229) 723-4111
Fax (229) 723-6083
Practice Location
13762 MAGNOLIA ST
BLAKELY GA, 39823-1875, US
Phone (229) 723-4111
Fax (229) 723-6083
Business Location
PO BOX 707
BLAKELY GA, 39823-0707, US
Phone (229) 723-4111
Fax (229) 723-6083
Toxanomy
Taxonomy Code 122300000X
License State Georgia
License Number DN014123
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According to our database, Brooks Dental Associates NPI is 1023301348, taxonomy code is 122300000X and license number is DN014123, license state is located at Georgia. Brooks Dental Associates physically located at 13762 Magnolia St, Blakely GA, 39823-1875. NPI Number 1033115704 has the healthcare provider type.

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1023301348 NPI number is provided on an as is basis without warranty of any kind. 1023301348 is maintained by the National Plan & Provider Enumeration System. The contents of Brooks Dental Associates are for informational purposes only.