person
Dr. Richard C Manus JR., DMD
Oral and Maxillofacial Surgery (Dentist) in Watkinsville, Georgia
NPI 1033241104

Richard C Manus JR. is a Oral and Maxillofacial Surgery (Dentist) based in Watkinsville, GA and is specialized in Oral and Maxillofacial Surgery. Richard C Manus JR. practices in Watkinsville, GA and has the professional credentials of DMD. The NPI Number for Richard C Manus JR. is 1033241104 and holds a License No. 010412 (Georgia).

The current practice location address for Richard C Manus JR. is 1360 Caduceus Way, Watkinsville, GA and can be reached out via phone at 706-548-0604 and via fax at 706-353-0884.

Location: 1360 Caduceus Way, Watkinsville, GA, 30677
person
Provider Profile Details
NPI Number
1033241104
Provider Name
Richard C Manus JR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1360 Caduceus Way, Watkinsville, GA, 30677
Phone Number
706-548-0604
Fax Number
706-353-0884
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
52472462-002 01 GA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1360 Caduceus Way
City
State
Zip
30677
Phone Number
706-548-0604
Fax Number
706-353-0884
person
Provider Business Mailing Address Details
Address
1360 Caduceus Way
City
State
Zip
30677
Phone Number
706-548-0604
Fax Number
706-353-0884
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
010412 (Georgia)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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