| Mcgovern Dental, Llc | |
|
1370 Gordon St W Douglas GA 31533-3432 | |
| (912) 384-1306 | |
| (912) 384-1308 |
| Full Name | Mcgovern Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1370 Gordon St W, Douglas, Georgia |
| Authorized Official Name and Position | Justin Mcgovern (OWNER) |
| Authorized Official Contact | 9123841306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcgovern Dental, Llc 1370 Gordon St W Douglas GA 31533-3432 Ph: (912) 384-1306 | Mcgovern Dental, Llc 1370 Gordon St W Douglas GA 31533-3432 Ph: (912) 384-1306 |
| NPI Number | 1972884344 |
|---|---|
| Provider Enumeration Date | 08/30/2011 |
| Last Update Date | 08/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972884344 | NPI | - | NPPES |
| 003106996A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN013714 (Georgia) | Primary |
Guy W. Moorman, Jr. Dds. Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 Ward Street Ext W, Douglas, GA 31533 Phone: 912-384-7400 | |
Lindsey, D.m.d., & Crawford, D.m.d., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 West Ward Street Extension, Magnolia Place B2, Douglas, GA 31533 Phone: 912-384-7400 | |
South Georgia Cosmetic & General Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 Madison Ave N, Douglas, GA 31533 Phone: 912-384-4432 | |
Dr. Dana E. Fender, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Peterson Ave N Ste G, Douglas, GA 31533 Phone: 912-381-1560 | |
Debbie L. Dismuke D.m.d.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-2277 Fax: 912-384-7543 | |
Gregory M Thackston, Dmd,magd,llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 Madison Ave N, Douglas, GA 31533 Phone: 912-384-7200 Fax: 912-384-0885 |