YOUTH DENTISTRY OF MACON PC NPI 1851366462

NPI Information

YOUTH DENTISTRY OF MACON, PC is a general practice dentist in Macon, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. YOUTH DENTISTRY OF MACON, PC NPI is 1851366462. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1536 EISENHOWER PKWY
MACON, GA
ZIP 31206-130
Phone: (478) 781-4333
Fax: (478) 781-4331

The provider's authorized official is Linda S Zoeller .
The authorized official title is Vp, Legal Licensing & Credentialing and has the following contact phone number (478) 781-4333.

The enumeration date for this NPI number is 2/18/2006 and was last updated on 9/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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