Organization
THOMSON FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WILLIAM SPICER DMD (PRESIDENT)
(706) 910-3468
Entity
Organization
Contact information
Practice address
540 W HILL ST, THOMSON, GA 30824-2117
(706) 910-3468
(706) 597-1535
Mailing address
PO BOX 1023, THOMSON, GA 30824-1023
(706) 910-3468
(706) 597-1535
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN015012
GA
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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