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Donald A. Bethea, D.d.s., L.l.c.
Pediatric Dentist in Waycross, Georgia
NPI 1124432166

Donald A. Bethea, D.d.s., L.l.c. is a Pediatric Dentist based in Waycross, GA and is specialized in Pediatric Dentistry. Donald A. Bethea, D.d.s., L.l.c. practices in Waycross, GA. The NPI Number for Donald A. Bethea, D.d.s., L.l.c. is 1124432166 and holds a License No. DN011225 (Georgia).

The current practice location address for Donald A. Bethea, D.d.s., L.l.c. is 410 Lister St, Waycross, GA and can be reached out via phone at 912-285-1218.

Location: 410 Lister St, Waycross, GA, 31501-5226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124432166
Provider Name
Donald A. Bethea, D.d.s., L.l.c.
Credential
Provider Entity Type
Organization
Address
410 Lister St, Waycross, GA, 31501-5226
Phone Number
912-285-1218
Fax Number
Provider Enumeration Date
06/18/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003143408A 05 GA
5440634 05 TN
institution
Provider Business Practice Location Address Details
Address
410 Lister St
City
Waycross
State
Georgia
Zip
31501-5226
Phone Number
912-285-1218
Fax Number
person
Provider Business Mailing Address Details
Address
410 Lister St
City
Waycross
State
Georgia
Zip
31501-5226
Phone Number
912-285-1218
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN011225 (Georgia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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