Organization
RAY M DUKE JR DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY M DUKE JR. DMD (OWNER DENTIST)
(229) 924-4054
Entity
Organization
Contact information
Practice address
626 EAST FORSYTH STREET, AMERICUS, GA 31709
(229) 924-4054
(229) 924-2290
Mailing address
626 EAST FORSYTH STREET, AMERICUS, GA 31709
(229) 924-4054
(229) 924-2290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000960176A
—
GA
Enumeration date
08/21/2006
Last updated
02/14/2012
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