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THOMASVILLE DENTAL ASSOCIATES NPI 1841550720


NPI Information

NPI: 1841550720
Provider Name: THOMASVILLE DENTAL ASSOCIATES

Doing Business As: PERFECT SMILE USA INC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
307 5TH ST SE
MOULTRIE, GA
ZIP 31768
Phone: (229) 985-5092
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THOMASVILLE DENTAL ASSOCIATES is a general practice dentist in Moultrie, 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. THOMASVILLE DENTAL ASSOCIATES NPI is 1841550720. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Perfect Smile Usa Inc.

The provider's business location address is:

307 5TH ST SE
MOULTRIE, GA
ZIP 31768
Phone: (229) 985-5092
Fax: (229) 985-0138

The provider's authorized official is Michael Donald Marable .
The authorized official title is President and has the following contact phone number (229) 985-5092.

The enumeration date for this NPI number is 5/24/2012 and was last updated on 5/24/2012.


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
11223G0001XDentistGeneral PracticeDN010909GEORGIAYes

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: 5/5/2024

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