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Contact Information

DENTAL CENTER OF VIDALIA
1209 EAST FIRST STREET
VIDALIA, GA30474
 Phone: 912-537-7048
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DENTAL CENTER OF VIDALIA · (Female)

NPI Number 1104044056
Status Active
Credentials
Entity Individual
Enumeration date 04/23/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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