Muscogee Dentistry, P.c.

NPI #1013379163 in Columbus, Georgia

Provider Information

NPI Number: 1013379163
Entity Type: Organization
Organization Name: Muscogee Dentistry, P.c.
Primary Specialty: Dentist
Enumeration Date: Mar 27, 2016
Last Updated: Mar 27, 2016

Practice Location

Address: 3619 CALVIN DR
City: Columbus
State: Georgia
ZIP Code: 31904-7915
Phone: (706) 940-0528

Authorized Official

Name: DR. ANDREA SHAWNKI TRICE, D.M.D
Title: PRESIDENT
Phone: (770) 880-9680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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