Organization
ROME FAMILY & COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON B OYLER D.M.D., PC (OWNER)
(706) 235-1186
Entity
Organization
Contact information
Practice address
19C JOHN MADDOX DR NW, ROME, GA 30165-1413
(706) 235-1186
(706) 234-9007
Mailing address
19C JOHN MADDOX DR NW, ROME, GA 30165-1413
(706) 235-1186
(706) 234-9007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11880
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00910511-A
—
GA
Enumeration date
08/31/2006
Last updated
09/16/2008
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