Individual
DR. MICHAEL WILLIAM AMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1 FREEDOM WAY, DENTAL CLINIC, 233U, AUGUSTA, GA 30904-6258
(843) 276-0564
(706) 481-6721
Mailing address
1 FREEDOM WAY, DENTAL CLINIC, 233U, AUGUSTA, GA 30904-6258
(843) 276-0564
(706) 481-6721
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6938
SC
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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