Organization
THOMASVILLE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALLAS MARGESON (OWNER)
(229) 226-6875
Entity
Organization
Contact information
Practice address
322 E JACKSON ST, THOMASVILLE, GA 31792-5168
(229) 226-6875
Mailing address
322 E JACKSON ST, THOMASVILLE, GA 31792-5168
(229) 226-6875
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
GA11010
GA
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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