PROVIDENCE DENTAL LLC 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. PROVIDENCE DENTAL LLC NPI is 1295189595. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
225 N MACON ST
MACON, GA
ZIP 31210-562
Phone: (478) 733-0857
Fax: (478) 254-5709
The provider's authorized official is Paul Jason Mann .
The authorized official title is Owner and has the following contact phone number (478) 733-0857.
The enumeration date for this NPI number is 4/22/2016 and was last updated on 4/22/2016.