| Drew Robert Borgholthaus, DMD | |
|
218 Quarterman St, Waycross, GA 31501-3547 | |
| (912) 287-9140 | |
| Not Available |
| Full Name | Drew Robert Borgholthaus |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 218 Quarterman St, Waycross, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265222517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN123747 (Georgia) | Primary |
| 1223G0001X | Dentist - General Practice | 7281733 (Idaho) | Secondary |
| Entity Name | Mckinney Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487665733 PECOS PAC ID: 3173432226 Enrollment ID: O20040430000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Drew Robert Borgholthaus, DMD 651 S Beverly St, Shoshone, ID 83352-5121 Ph: (208) 886-2224 | Drew Robert Borgholthaus, DMD 218 Quarterman St, Waycross, GA 31501-3547 Ph: (912) 287-9140 |
Dr. Larry L Dunn, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1404 A Tebeau Street, Waycross, GA 31501 Phone: 912-285-4534 Fax: 912-285-4463 |
Dr. Celestine Varnedoe, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2009 Tebeau Street, Waycross, GA 31501 Phone: 912-283-1340 Fax: 912-283-0334 |
George W. Thomas, D.D.S., P.C. Dentist Medicare: Medicare Enrolled Practice Location: 1600 Alice St, Waycross, GA 31501 Phone: 912-285-3140 Fax: 912-285-0260 |
Scotty Blanchard Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1601 Alice St Ste B, Waycross, GA 31501 Phone: 912-285-5967 Fax: 912-285-0762 |
John Robert Hopkins Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 610 Riverside Ave, Waycross, GA 31501 Phone: 912-285-3400 |
Dr. James C. Morton Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 218 Quarterman St, Waycross, GA 31501 Phone: 912-287-9140 Fax: 912-287-1059 |
Dr. William C Hurst Sr., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 410 Lister St, Waycross, GA 31501 Phone: 912-285-1218 Fax: 912-285-9518 |