Columbus Oral & Maxillofacial Surgery Pc

NPI 1003023870 - Dentist - 1223S0112X

NPI Details
NPI 1003023870
Enumeration Date 05/17/2007
Last Updated 06/23/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN R JOHN
Position OWNER
Phone (706) 507-0901
Fax (706) 507-0984
Practice Location
4405 N STADIUM DR
SUITE A
COLUMBUS GA, 31909-1878, US
Phone (706) 507-0901
Fax (706) 507-0984
Business Location
4405 N STADIUM DR
SUITE A
COLUMBUS GA, 31909-1875, US
Phone (706) 507-0901
Fax (706) 507-0984
Toxanomy
Taxonomy Code 1223S0112X
License State Georgia
License Number DN013256
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According to our database, Columbus Oral & Maxillofacial Surgery Pc NPI is 1003023870, taxonomy code is 1223S0112X and license number is DN013256, license state is located at Georgia. Columbus Oral & Maxillofacial Surgery Pc physically located at 4405 N Stadium Dr, Columbus GA, 31909-1878. NPI Number 1033115704 has the healthcare provider type.

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1003023870 NPI number is provided on an as is basis without warranty of any kind. 1003023870 is maintained by the National Plan & Provider Enumeration System. The contents of Columbus Oral & Maxillofacial Surgery Pc are for informational purposes only.