Organization
J. MICHAEL SCOTT, DMD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN MICHAEL SCOTT DMD (OWNER)
(706) 721-4288
Entity
Organization
Contact information
Practice address
1139 GREENE ST, AUGUSTA, GA 30901-2125
(706) 721-4288
Mailing address
1139 GREENE ST, AUGUSTA, GA 30901-2125
(706) 721-4288
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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