Organization
OGLETHORPE FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOYCE M ROBERTS DMD (DENTIST)
(912) 877-3070
Entity
Organization
Contact information
Practice address
615 W OGLETHORPE HWY, HINESVILLE, GA 31313-4485
(912) 877-3070
Mailing address
PO BOX 408, HINESVILLE, GA 31310-0408
(912) 877-3070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013949
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
562628995A
—
GA
Enumeration date
04/01/2013
Last updated
04/01/2013
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