| Vbdc Of Macon Llc | |
|
5955 Zebulon Rd Macon GA 31210-2030 | |
| (478) 733-0857 | |
| (478) 254-5709 |
| Full Name | Vbdc Of Macon Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5955 Zebulon Rd, Macon, Georgia |
| Authorized Official Name and Position | Paul Jason Mann (OWNER) |
| Authorized Official Contact | 4787330857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vbdc Of Macon Llc 225 N Macon St Macon GA 31210-6562 Ph: (478) 733-0857 | Vbdc Of Macon Llc 5955 Zebulon Rd Macon GA 31210-2030 Ph: (478) 733-0857 |
| NPI Number | 1578035804 |
|---|---|
| Provider Enumeration Date | 12/27/2018 |
| Last Update Date | 12/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578035804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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