Organization
JOHN AND PAUL DENTISTRY, LLC
Active
Other names
Ambrose Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA LOCHER (OFFICE MANAGER)
(478) 743-0901
Entity
Organization
Contact information
Practice address
160 PIERCE AVE, MACON, GA 31204-2871
(478) 743-0901
Mailing address
160 PIERCE AVE, MACON, GA 31204-2871
(478) 743-0901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN013328
GA
1223P0221X
Pediatric Dentistry
DN007573
GA
1223P0221X
Pediatric Dentistry
Primary
DN012737
GA
1223P0221X
Pediatric Dentistry
DN013383
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000046395
—
GA
05
—
003133063
—
GA
05
—
134015103
—
GA
05
—
292364594
—
GA
Enumeration date
02/10/2016
Last updated
02/10/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us