Midway Family Dental

NPI #1780043000 in Midway, Georgia

Provider Information

NPI Number
1780043000
Entity Type
Organization
Organization Name
Midway Family Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 15, 2016
Last Updated
Feb 15, 2016

Practice Location

Address
1718 N COASTAL HWY
City
Midway
State
Georgia
ZIP Code
31320-3415
Phone
(912) 880-2288

Authorized Official

Name
ROLLIN B JACKSON, D.M.D.
Title
OWNER
Phone
(912) 880-2288

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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