# MUSCOGEE DENTISTRY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013379163
- **Authorized official:** DR. ANDREA SHAWNKI TRICE D.M.D (PRESIDENT)
- **Authorized official phone:** (770) 880-9680

## Contact information

- **Practice address:** 3619 CALVIN DR, COLUMBUS, GA 31904-7915
- **Practice address phone:** (706) 940-0528
- **Practice address fax:** (706) 940-0571
- **Mailing address:** 3619 CALVIN DR, COLUMBUS, GA 31904-7915
- **Mailing address phone:** (706) 940-0528
- **Mailing address fax:** (706) 940-0571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DN013193 | GA | Yes |

## Other

- **Enumeration date:** 03/27/2016
- **Last updated:** 03/27/2016