Organization
MICHAEL B. DAYOUB, DDS, MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BLAIZE DAYOUB DDS, MS (PERIODONTIST)
(912) 355-2688
Entity
Organization
Contact information
Practice address
310 EISENHOWER DR STE 4, SAVANNAH, GA 31406-2632
(912) 355-2688
(912) 355-2657
Mailing address
310 EISENHOWER DR STE 4, SAVANNAH, GA 31406-2632
(912) 355-2688
(912) 355-2657
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
008011
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427068485
INDIVIDUAL NPI
GA
Enumeration date
05/11/2007
Last updated
08/22/2020
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