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Moultrie Orthodontics, P.c.
Dental Clinic/Center in Moultrie, Georgia
NPI 1225473630

Moultrie Orthodontics, P.c. is a Dental Clinic/Center based in Moultrie, GA and is specialized in Dental. Moultrie Orthodontics, P.c. practices in Moultrie, GA. The NPI Number for Moultrie Orthodontics, P.c. is 1225473630 and holds a License No. GA11010 (Georgia).

The current practice location address for Moultrie Orthodontics, P.c. is 12 Longleaf Office Park, Moultrie, GA and can be reached out via phone at 229-985-4715 and via fax at 229-985-0997.

Location: 12 Longleaf Office Park, Moultrie, GA, 31768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225473630
Provider Name
Moultrie Orthodontics, P.c.
Credential
Provider Entity Type
Organization
Address
12 Longleaf Office Park, Moultrie, GA, 31768
Phone Number
229-985-4715
Fax Number
229-985-0997
Provider Enumeration Date
04/30/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12 Longleaf Office Park
City
Moultrie
State
Georgia
Zip
31768
Phone Number
229-985-4715
Fax Number
229-985-0997
person
Provider Business Mailing Address Details
Address
12 Longleaf Office Park
City
Moultrie
State
Georgia
Zip
31768
Phone Number
229-985-4715
Fax Number
229-985-0997
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
GA11010 (Georgia)
Definition
Definition to come...
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