NPI 1013382316

Guy W. Moorman, Jr. DDS. PC

Organisation Dental Clinic/Center Douglas, GA

Practice location

Address: 1150 Ward Street Ext W, Douglas, GA 31533-1900
Phone: (912) 384-7400

Authorised official

Name: Tammy Lynn Smith
Title: Office Manager
Phone: (912) 384-7400

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence DN007456 (GA)

Other Clinic/Center providers in Georgia →

Registry record

NPI: 1013382316
Entity type: Organization
NPI issued: 11 Dec 2015
Record last updated: 11 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.