Organization
BOBBY R CHILDREE DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY RAY CHILDREE DMD (PRESIDENT OF CORPORATION (PC))
(706) 692-2646
Entity
Organization
Contact information
Practice address
175 SOUTH MAIN STREET, JASPER, GA 30143
(706) 692-2646
(706) 253-3202
Mailing address
175 SOUTH MAIN STREET, PO BOX 698, JASPER, GA 30143
(706) 692-2646
(706) 253-3202
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8754
GA
Other
Enumeration date
08/26/2006
Last updated
08/22/2020
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