Organization
GORDON T. AUSTIN, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON T. AUSTIN DMD (PRESIDENT)
(770) 832-7374
Entity
Organization
Contact information
Practice address
819 DIXIE ST, CARROLLTON, GA 30117-4415
(770) 832-7374
(770) 832-7260
Mailing address
819 DIXIE ST, CARROLLTON, GA 30117-4415
(770) 832-7374
(770) 832-7260
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8598
GA
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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