Youth Dentistry of Macon, PC

NPI #1851366462 in Macon, Georgia

Provider Information

NPI Number: 1851366462
Entity Type: Organization
Organization Name: Youth Dentistry of Macon, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 18, 2006
Last Updated: Sep 6, 2016

Practice Location

Address: 1536 EISENHOWER PKWY
City: Macon
State: Georgia
ZIP Code: 31206-3130
Phone: (478) 781-4333

Authorized Official

Name: MRS. LINDA S ZOELLER
Title: VP, LEGAL LICENSING & CREDENTIALING
Phone: (478) 781-4333

Specialties & Taxonomy Codes

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

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