Advanced Dental Care

NPI #1104152404 in Valdosta, Georgia

Provider Information

NPI Number: 1104152404
Entity Type: Organization
Organization Name: Advanced Dental Care
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 22, 2009
Last Updated: Oct 22, 2009

Practice Location

Address: 3211 WILDWOOD PLANTATION DR
City: Valdosta
State: Georgia
ZIP Code: 31605-1042
Phone: (229) 242-4441

Authorized Official

Name: DR. WILLIAM ASHLEY MOORMAN, DMD
Title: OWNER/DENTIST
Phone: (229) 242-4441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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