Individual
DR. DAKOTA JORDAN TYRUS THARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1725 DAWSON RD, ALBANY, GA 31707-3362
(229) 883-7891
Mailing address
3947 JORDAN RD, BYRON, GA 31008-7707
(478) 217-6805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122698
GA
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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