Organization
MACON DENTIST OFFICE, PC
Active
Other names
Macon Dentist Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE L MCCANN DDS (OWNER)
(478) 654-3111
Entity
Organization
Contact information
Practice address
206 TOM HILL SR BLVD, SUITE 106, MACON, GA 31210
(478) 654-3111
(478) 246-0074
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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