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Dr. Donald Alan Bethea, DDS
Pediatric Dentist in Waycross, Georgia
NPI 1417053646

Donald Alan Bethea is a Pediatric Dentist based in Waycross, GA and is specialized in Pediatric Dentistry. Donald Alan Bethea practices in Waycross, GA and has the professional credentials of DDS. The NPI Number for Donald Alan Bethea is 1417053646 and holds a License No. DN011225 (Georgia).

The current practice location address for Donald Alan Bethea is 410 Lister St, Waycross, GA and can be reached out via phone at 912-285-1218 and via fax at 912-285-9518.

Location: 410 Lister St, Waycross, GA, 31501-5226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417053646
Provider Name
Donald Alan Bethea
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
410 Lister St, Waycross, GA, 31501-5226
Phone Number
912-285-1218
Fax Number
912-285-9518
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003143408A 05 GA
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
912-285-9518
person
Provider Business Mailing Address Details
Address
410 Lister St
City
Waycross
State
Georgia
Zip
31501-5226
Phone Number
912-285-1218
Fax Number
912-285-9518
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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