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Macy Malcom Copelan, DMD
General Practice Dentistry in Milledgeville, Georgia
NPI 1316571318

Macy Malcom Copelan is a General Practice Dentistry based in Milledgeville, GA and is specialized in General Practice. Macy Malcom Copelan practices in Milledgeville, GA and has the professional credentials of DMD. The NPI Number for Macy Malcom Copelan is 1316571318 and holds a License No. DN016074 (Georgia).

The current practice location address for Macy Malcom Copelan is 179 Garrett Way Nw, Milledgeville, GA and can be reached out via phone at 478-453-3004.

Location: 179 Garrett Way Nw, Milledgeville, GA, 31061-2318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316571318
Provider Name
Macy Malcom Copelan
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
179 Garrett Way Nw, Milledgeville, GA, 31061-2318
Phone Number
478-453-3004
Fax Number
Provider Enumeration Date
02/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
179 Garrett Way Nw
City
Milledgeville
State
Georgia
Zip
31061-2318
Phone Number
478-453-3004
Fax Number
person
Provider Business Mailing Address Details
Address
179 Garrett Way Nw
City
Milledgeville
State
Georgia
Zip
31061-2318
Phone Number
478-453-3004
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
FC9804229 (Georgia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DN016074 (Georgia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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