Organization
JASON R. MCGIBONY, DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON REID MCGIBONY DMD (PRESIDENT)
(912) 764-4403
Entity
Organization
Contact information
Practice address
378 SAVANNAH AVE, STATESBORO, GA 30458-5163
(912) 764-4403
(912) 764-7210
Mailing address
378 SAVANNAH AVE, STATESBORO, GA 30458-5163
(912) 764-4403
(912) 764-7210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012077
GA
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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