| Youth Dentistry Of Macon | |
|
1536 Eisenhower Pkwy Macon GA 31206 | |
| (478) 781-4333 | |
| (478) 781-4331 |
| Full Name | Youth Dentistry Of Macon |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1536 Eisenhower Pkwy, Macon, Georgia |
| Authorized Official Name and Position | Linda Susan Zoeller (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6159882627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Dentistry Of Macon 401 Church St Ste 2210 Nashville TN 37219-2204 Ph: (615) 988-2627 | Youth Dentistry Of Macon 1536 Eisenhower Pkwy Macon GA 31206 Ph: (478) 781-4333 |
| NPI Number | 1073063228 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 07/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073063228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN015152 (Georgia) | Primary |
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