| Dana W Mullis Dmd Pc | |
|
1003 Plaza Ave Eastman GA 31023 | |
| (478) 374-1127 | |
| (478) 374-3588 |
| Full Name | Dana W Mullis Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 1003 Plaza Ave, Eastman, Georgia |
| Authorized Official Name and Position | Dana W Mullis (CEO DMD) |
| Authorized Official Contact | 4783741127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dana W Mullis Dmd Pc Po Box 4098 Eastman GA 31023-4098 Ph: (478) 374-1127 | Dana W Mullis Dmd Pc 1003 Plaza Ave Eastman GA 31023 Ph: (478) 374-1127 |
| NPI Number | 1417085184 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417085184 | NPI | - | NPPES |
| 00803151B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 011878 (Georgia) | Primary |
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