Individual
DR. PHILIP A COPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
10230 FORD AVENUE, RICHMOND HILL, GA 31324
(912) 756-2936
(912) 756-2931
Mailing address
10230 FORD AVENUE, RICHMOND HILL, GA 31324
(912) 756-2936
(912) 756-2931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN012235
GA
1223G0001X
General Practice Dentistry
Primary
DNO12235
GA
Other
Enumeration date
06/25/2008
Last updated
01/10/2011
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