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Dr. Diane Manning Pennington, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in Kingsland, Georgia
NPI 1073695516

Diane Manning Pennington is a Oral and Maxillofacial Surgery (Dentist) based in Saint Marys, GA and is specialized in Oral and Maxillofacial Surgery. Diane Manning Pennington practices in Kingsland, GA and has the professional credentials of DMD,MD. The NPI Number for Diane Manning Pennington is 1073695516 and holds a License No. DN011196 (Georgia).

The current practice location address for Diane Manning Pennington is 1891 Ga Highway 40 E, Kingsland, GA and can be reached out via phone at 912-673-6545 and via fax at 912-576-1846.

Location: 1891 Ga Highway 40 E, Kingsland, GA, 31558-4026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073695516
Provider Name
Diane Manning Pennington
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Female
Address
1891 Ga Highway 40 E, Kingsland, GA, 31558-4026
Phone Number
912-673-6545
Fax Number
912-576-1846
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1891 Ga Highway 40 E
City
Kingsland
State
Georgia
Zip
31548-6572
Phone Number
912-673-6545
Fax Number
912-576-1846
person
Provider Business Mailing Address Details
Address
1891 Ga Highway 40 E
City
Kingsland
State
Georgia
Zip
31548-6572
Phone Number
912-673-6545
Fax Number
912-576-1846
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN011196 (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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