Individual
DR. JASON REID MCGIBONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
378 SAVANNAH AVE, STATESBORO, GA 30458-5163
(912) 764-4403
(912) 764-7210
Mailing address
378 SAVANNAH AVE, STATESBORO, GA 30458-5163
(912) 764-4403
(912) 764-7210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012077
GA
Other
Enumeration date
10/11/2006
Last updated
12/13/2022
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