South Georgia Pediatric Denitstry is a Pediatric Dental Clinic in Valdosta, Georgia. It is located at 3227 N Oak Street Ext, Suite A, Valdosta, GA and its contact number is 229-247-3200. The authorized person for South Georgia Pediatric Denitstry is Mr. Joseph C Powell
who is Owner/dentist of the clinic and their contact number is 229-247-3200. The primary license number for South Georgia Pediatric Denitstry is DN014976 (Pediatric Dentistry) in Georgia. South Georgia Pediatric Denitstry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
South Georgia Pediatric Denitstry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
South Georgia Pediatric Denitstry
Specialization:
Pediatric Dentistry
Clinic Address:
3227 N Oak Street Ext, Suite A, Valdosta, Georgia, 31605-7416
Phone:
229-247-3200
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Joseph C Powell
Position:
Owner/dentist
Contact Number:
229-247-3200
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for South Georgia Pediatric Denitstry clinic are as mentioned below.
NPI Number:
1104128263
NPI Enumeration Date:
23 Nov, 2010
NPI Last Update On:
01 Feb, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Georgia Pediatric Denitstry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
DN014976
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
102640352A
Medicaid
Georgia
00917067B
Medicaid
Georgia
003162889B
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
South Georgia Pediatric Denitstry 3227 N Oak Street Ext, Suite A Valdosta, Georgia
Zip:
31605-7416
Phone Number:
229-247-3200
Patients can reach South Georgia Pediatric Denitstry at 3227 N Oak Street Ext, Suite A, Valdosta, Georgia or can call to book an appointment on 229-247-3200. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.