Organization
MACON USMILE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMAL DUVAL DDS (OWNER)
(615) 403-4557
Entity
Organization
Contact information
Practice address
3312 NORTHSIDE DR STE 160, MACON, GA 31210-2500
(478) 471-9300
Mailing address
3312 NORTHSIDE DR STE 160, MACON, GA 31210-2500
(478) 471-9300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/10/2026
Last updated
02/20/2026
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