| Denny L Malcom Dds Pc | |
|
133 Cherokee Rd Social Circle GA 30025-0443 | |
| (770) 464-2636 | |
| (770) 464-2636 |
| Full Name | Denny L Malcom Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 133 Cherokee Rd, Social Circle, Georgia |
| Authorized Official Name and Position | Denny L Malcom (CEO) |
| Authorized Official Contact | 7704642636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denny L Malcom Dds Pc Po Box 443 Social Circle GA 30025-0443 Ph: (770) 464-2636 | Denny L Malcom Dds Pc 133 Cherokee Rd Social Circle GA 30025-0443 Ph: (770) 464-2636 |
| NPI Number | 1215039292 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215039292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN008060 (Georgia) | Primary |