Monticello Family Dentistry
NPI #1679340368 in Monticello, Georgia
Provider Information
- NPI Number
- 1679340368
- Entity Type
- Organization
- Organization Name
- Monticello Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 4, 2023
- Last Updated
- Dec 4, 2023
Practice Location
- Address
- 458 W WASHINGTON ST
- City
- Monticello
- State
- Georgia
- ZIP Code
- 31064-1368
- Phone
- (706) 468-6394
Authorized Official
- Name
- TYLER LIPHAM, DMD
- Title
- OWNER/AGENT
- Phone
- (706) 468-6394
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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