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Contact Information

MACON DENTIST OFFICE, PC
206 TOM HILL SR BLVD
SUITE 106
MACON, GA31210
 Phone: 478-654-3111
 Fax: 478-246-0074
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MACON DENTIST OFFICE, PC

NPI # 1083074868
LBN Legal business name MACON DENTIST OFFICE, PC
Authorized official KATIE MCCANN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2016
Last updated 03/07/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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