Southern Orthodontics
Orthodontics and Dentofacial Clinic
12 Long Leaf Office Park, Moultrie
Georgia, 31768-6780
229-985-4715 229-985-0997
Maps & DirectionsSouthern Orthodontics is a Orthodontics and Dentofacial Clinic in Moultrie, Georgia. It is located at 12 Long Leaf Office Park, Moultrie, GA and its contact number is 229-985-4715. The authorized person for Southern Orthodontics is J Gregory Morris
who is President of the clinic and their contact number is 229-985-4715. The primary license number for Southern Orthodontics is 11208 (Orthodontics and Dentofacial Orthopedics) in Georgia.
Southern Orthodontics Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Southern Orthodontics Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Southern Orthodontics |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 12 Long Leaf Office Park, Moultrie,
Georgia, 31768-6780 |
| Phone: | 229-985-4715 |
| Fax: | 229-985-0997 |
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: | J Gregory Morris |
| Position: | President |
| Contact Number: | 229-985-4715 |
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 Southern Orthodontics clinic are as mentioned below.
| NPI Number: | 1548473754 |
| NPI Enumeration Date: | 07 May, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern Orthodontics are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | 11208 | 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 |
| 11208 | Other | Georgia | Dental License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Southern Orthodontics
12 Long Leaf Office Park,
Moultrie, Georgia |
| Zip: | 31768-6780 |
| Phone Number: | 229-985-4715 |
| Fax Number: | 229-985-0997 |
Patients can reach Southern Orthodontics at
12 Long Leaf Office Park, Moultrie, Georgia or can
call to book an appointment on 229-985-4715.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.