| Ambrose Pediatric Dentistry | |
|
160 Pierce Ave Macon GA 31204-2871 | |
| (478) 743-0901 | |
| Not Available |
| Full Name | Ambrose Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 160 Pierce Ave, Macon, Georgia |
| Authorized Official Name and Position | Tina Locher (OFFICE MANAGER) |
| Authorized Official Contact | 4787430901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambrose Pediatric Dentistry 160 Pierce Ave Macon GA 31204-2871 Ph: (478) 743-0901 | Ambrose Pediatric Dentistry 160 Pierce Ave Macon GA 31204-2871 Ph: (478) 743-0901 |
| NPI Number | 1023476652 |
|---|---|
| Provider Enumeration Date | 02/10/2016 |
| Last Update Date | 02/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023476652 | NPI | - | NPPES |
| 134015103 | Medicaid | GA | |
| 292364594 | Medicaid | GA | |
| 000046395 | Medicaid | GA | |
| 003133063 | Medicaid | GA |
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