Bulloch Oral And Maxillofacial Surgery And Dental Implant Center

NPI 1013235290 - Dentist - 1223S0112X

NPI Details
NPI 1013235290
Enumeration Date 05/12/2010
Last Updated 05/12/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ROGER LEE ROGER
Position OWNER
Phone (912) 764-7500
Fax (912) 764-7503
Practice Location
301 FLORENCE AVE
STATESBORO GA, 30458-5138, US
Phone (912) 764-7500
Fax (912) 764-7503
Business Location
301 FLORENCE AVE
STATESBORO GA, 30458-5138, US
Phone (912) 764-7500
Fax (912) 764-7503
Toxanomy
Taxonomy Code 1223S0112X
License State Georgia
License Number DN013413
Remove 1013235290 NPI Number
 

According to our database, Bulloch Oral And Maxillofacial Surgery And Dental Implant Center NPI is 1013235290, taxonomy code is 1223S0112X and license number is DN013413, license state is located at Georgia. Bulloch Oral And Maxillofacial Surgery And Dental Implant Center physically located at 301 Florence Ave, Statesboro GA, 30458-5138. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1013235290 NPI number is provided on an as is basis without warranty of any kind. 1013235290 is maintained by the National Plan & Provider Enumeration System. The contents of Bulloch Oral And Maxillofacial Surgery And Dental Implant Center are for informational purposes only.