| Deborah Young Makerson Dmd | |
|
414 Highway 25 S Millen GA 30442-5263 | |
| (478) 982-2789 | |
| (478) 982-3397 |
| Full Name | Deborah Young Makerson Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 414 Highway 25 S, Millen, Georgia |
| Authorized Official Name and Position | Deborah Young Makerson (OWNER) |
| Authorized Official Contact | 7069512727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Young Makerson Dmd Po Box 925 Millen GA 30442-0925 Ph: (478) 982-2789 | Deborah Young Makerson Dmd 414 Highway 25 S Millen GA 30442-5263 Ph: (478) 982-2789 |
| NPI Number | 1356603351 |
|---|---|
| Provider Enumeration Date | 06/14/2012 |
| Last Update Date | 06/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356603351 | NPI | - | NPPES |
| 000219711B | Medicaid | GA | |
| 000219711C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |