Organization
OGLETHORPEDENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANKLIN BRENT DAVIS DMD (PRESIDENT)
(478) 743-5856
Entity
Organization
Contact information
Practice address
1248 OGLETHORPE ST, MACON, GA 31201-1703
(478) 743-5856
(478) 745-7953
Mailing address
1248 OGLETHORPE ST, MACON, GA 31201-1703
(478) 743-5856
(478) 745-7953
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10885
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000439788A
—
GA
Enumeration date
01/23/2007
Last updated
09/27/2012
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