Organization
JAMES E DUBOSE DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E DUBOSE DMD (PRES OWNER)
(770) 267-6822
Entity
Organization
Contact information
Practice address
416 E SPRING ST, MONROE, GA 30655-1214
(770) 267-6822
(770) 267-0928
Mailing address
PO BOX 1214, MONROE, GA 30655-1214
(770) 267-6822
(770) 267-0928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008266
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00051708A
—
GA
Enumeration date
08/31/2006
Last updated
08/22/2020
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