Valdosta Family Dentistry

NPI #1811138258 in Valdosta, Georgia

Provider Information

NPI Number: 1811138258
Entity Type: Organization
Organization Name: Valdosta Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 16, 2009
Last Updated: Mar 16, 2009

Practice Location

Address: 2935 N ASHLEY ST
Address 2: SUITE 130
City: Valdosta
State: Georgia
ZIP Code: 31602-1777
Phone: (229) 333-8484

Authorized Official

Name: DR. BENJAMIN F TANNER, DMD
Title: DENTIST
Phone: (229) 333-8484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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