Organization
DENTISTRY FOR WARNER ROBINS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CROSSLEY D.D.S. (PRESIDENT)
(478) 923-6449
Entity
Organization
Contact information
Practice address
1299 RUSSELL PKWY, WARNER ROBINS, GA 31088-5582
(478) 923-6449
Mailing address
1090 NORTHCHASE PKWY SE STE 150, MARIETTA, GA 30067-6407
(770) 916-5031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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