Southern 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.