DR. Jon Mallory Mcrae SR., DDS
NPI #1629018718 in Bainbridge, Georgia
Provider Information
- NPI Number
- 1629018718
- Entity Type
- Individual
- Name
- DR. Jon Mallory Mcrae SR., DDS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 7, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 914 E SHOTWELL ST
- City
- Bainbridge
- State
- Georgia
- ZIP Code
- 39819-4148
- Phone
- (229) 246-7637
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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