Middle Georgia Oral and Maxillofacial Surgery LLC

NPI #1942862859 in Dublin, Georgia

Provider Information

NPI Number
1942862859
Entity Type
Organization
Organization Name
Middle Georgia Oral and Maxillofacial Surgery LLC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jul 1, 2019
Last Updated
Jul 1, 2019

Practice Location

Address
117 S CALHOUN ST
City
Dublin
State
Georgia
ZIP Code
31021-5245
Phone
(706) 340-3408

Authorized Official

Name
DR. GLENDON WILLIAM SMALLEY III, DMD
Title
ORAL SURGEON
Phone
(706) 340-3408

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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