Individual
DR. JULIE K. ADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
804 PALM DR, DUBLIN, GA 31021-5634
(478) 272-1983
Mailing address
804 PALM DR, DUBLIN, GA 31021-5634
(478) 272-1983
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
DN013044
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN013044
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
464844449A
—
GA
Enumeration date
09/07/2005
Last updated
12/13/2020
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