Organization
THOMAS L DAVIDSON JR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LAWSON DAVIDSON JR. DDS (OWNER PROVIDER)
(478) 452-3820
Entity
Organization
Contact information
Practice address
300 NORTH JEFFERSON STREET, MILLEDGEVILLE, GA 31061
(478) 452-3820
(478) 452-3820
Mailing address
PO BOX 749, MILLEDGEVILLE, GA 31059
(478) 452-3820
(478) 452-3820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6842
GA
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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