DR. JOHN MICHAEL AMBROSE DDS NPI 1306811815

NPI Information

  • NPI: 1306811815
  • Provider Name: DR. JOHN MICHAEL AMBROSE, DDS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 4445 HWY 40
    STE 405
    SAINT MARYS, GA
    ZIP 31558
  • Phone: (912) 510-7123

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NPI Details

DR. John Michael Ambrose, DDS is a periodontics dentist in Saint Marys, GA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. John Michael Ambrose, DDS NPI is 1306811815. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4445 HWY 40
STE 405
SAINT MARYS, GA
ZIP 31558-099
Phone: (912) 510-7123
Fax: (912) 510-7126

The enumeration date for this NPI number is 2/19/2006 and was last updated on 7/8/2007.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodontics11405GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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