Donald A. Bethea, D.d.s., L.l.c.

NPI 1124432166 - Dentist - 1223P0221X

NPI Details
NPI 1124432166
Enumeration Date 06/18/2014
Last Updated 06/18/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DONALD ALAN DONALD
Position DENITST/OWNER
Phone (912) 285-1218
Fax
Practice Location
410 LISTER ST
WAYCROSS GA, 31501-5226, US
Phone (912) 285-1218
Fax
Business Location
410 LISTER ST
WAYCROSS GA, 31501-5226, US
Phone (912) 285-1218
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State Georgia
License Number DN011225
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According to our database, Donald A. Bethea, D.d.s., L.l.c. NPI is 1124432166, taxonomy code is 1223P0221X and license number is DN011225, license state is located at Georgia. Donald A. Bethea, D.d.s., L.l.c. physically located at 410 Lister St, Waycross GA, 31501-5226. NPI Number 1033115704 has the healthcare provider type.

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1124432166 NPI number is provided on an as is basis without warranty of any kind. 1124432166 is maintained by the National Plan & Provider Enumeration System. The contents of Donald A. Bethea, D.d.s., L.l.c. are for informational purposes only.