Individual
DR. JAY ANDREUCCETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
160 PIERCE AVE, MACON, GA 31204-2871
(478) 743-0901
Mailing address
421 CLAIRE PL, MACON, GA 31204-1972
(630) 453-2511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015962
GA
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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