Individual
DR. ISAAC S HADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
131 N OAKLEY DR, COLUMBUS, GA 31906-4476
(706) 689-2905
Mailing address
131 NORTH OAKLEY DR, COLUMBUS, GA 31906
(706) 689-2905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8272
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00132976A
—
GA
01
—
100178
AVESIS DENTAL
GA
01
—
9179510
DORAL DENTAL SERVICES
GA
Enumeration date
07/24/2006
Last updated
07/08/2007
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