Family Practice Dental Care of Statesboro
NPI #1558562074 in Statesboro, Georgia
Provider Information
- NPI Number
- 1558562074
- Entity Type
- Organization
- Organization Name
- Family Practice Dental Care of Statesboro
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 31, 2007
- Last Updated
- Oct 23, 2014
Practice Location
- Address
- 1046 NORTHSIDE DR E
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-1002
- Phone
- (912) 764-9187
Authorized Official
- Name
- DR. DALE CYRIL MADSON, DMD
- Title
- OWNER
- Phone
- (912) 764-9187
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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