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Individual

DR. JOSHUA GLENN HYATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-1902
(706) 721-8623
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8135
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
10316
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN122897
GA

Other

Enumeration date
08/10/2012
Last updated
03/01/2023
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