American Dental of Fitzgerald

NPI #1639641160 in Fitzgerald, Georgia

Provider Information

NPI Number: 1639641160
Entity Type: Organization
Organization Name: American Dental of Fitzgerald
Primary Specialty: Dentist
Enumeration Date: Dec 21, 2018
Last Updated: Dec 11, 2019

Practice Location

Address: PO BOX 877
City: Fitzgerald
State: Georgia
ZIP Code: 31750-0877
Phone: (229) 423-9471

Authorized Official

Name: VICKI E DAVIS
Title: PRACTICE ADMINISTRATOR
Phone: (229) 313-5083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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