NPI 1114684206

Joann W Cody

Practitioner Dental Assistant Fort Benning, GA

Practice location

Address: Salomon Dental Clinic 11th Airborne Division Rd. Bldg 3255, Fort Benning, GA 31905
Phone: (706) 544-9071
Mailing address: 710 Belvedere Dr, Columbus, GA 31907-5132

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1114684206
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Nov 2021
Record last updated: 23 Nov 2021

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.