Organization
THOMAS W. MOORMAN, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WILLIAM MOORMAN D.D.S. (PRESIDENT OF CORPORATION)
(770) 483-6655
Entity
Organization
Contact information
Practice address
1455 OLD MCDONOUGH HWY SE STE B, CONYERS, GA 30094-5979
(770) 483-6655
(770) 760-0269
Mailing address
PO BOX 80067, CONYERS, GA 30013-8067
(770) 483-6655
(770) 760-0269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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