Individual
LARRY G HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1007 E BARNARD ST, GLENNVILLE, GA 30427-2603
(912) 654-3046
(912) 654-3047
Mailing address
PO BOX 718, GLENNVILLE, GA 30427-0718
(912) 654-3046
(912) 654-3047
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9053
GA
1223G0001X
General Practice Dentistry
Primary
9053
GA
Other
Enumeration date
08/17/2006
Last updated
12/19/2023
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