Copelan Dental, LLC

NPI #1659047678 in Milledgeville, Georgia

Provider Information

NPI Number
1659047678
Entity Type
Organization
Organization Name
Copelan Dental, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 19, 2021
Last Updated
Aug 19, 2021

Practice Location

Address
179 GARRETT WAY NW
State
Georgia
ZIP Code
31061-2318
Phone
(478) 453-3004

Authorized Official

Name
MACY MALCOM COPELAN, DMD
Title
DENTIST/OWNER
Phone
(706) 474-6806

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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