Winterville Dental, Pc

NPI 1528233384 - Clinic/Center - 261QD0000X

NPI Details
NPI 1528233384
Enumeration Date 04/23/2008
Last Updated 09/13/2011
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name PHILLIP PHILLIP
Position PRESIDENT
Phone (706) 742-7000
Fax (706) 742-2145
Practice Location
104 MOORES GROVE RD
WINTERVILLE GA, 30683-1506, US
Phone (706) 742-7000
Fax (706) 742-2145
Business Location
104 MOORES GROVE RD
WINTERVILLE GA, 30683-1506, US
Phone (706) 742-7000
Fax (706) 742-2145
Toxanomy
Taxonomy Code 261QD0000X
License State Georgia
License Number DN010773
Remove 1528233384 NPI Number
 

According to our database, Winterville Dental, Pc NPI is 1528233384, taxonomy code is 261QD0000X and license number is DN010773, license state is located at Georgia. Winterville Dental, Pc physically located at 104 Moores Grove Rd, Winterville GA, 30683-1506. NPI Number 1033115704 has the healthcare provider type.

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1528233384 NPI number is provided on an as is basis without warranty of any kind. 1528233384 is maintained by the National Plan & Provider Enumeration System. The contents of Winterville Dental, Pc are for informational purposes only.