Organization · Type 2 NPI

Moultrie Orthodontics, P.c.

Dental Clinic/Center · Moultrie, GA

NPI number 1225473630 Active

Practice location

12 Longleaf Office Park
Moultrie, GA 31768

Call (229) 985-4715 Map

Fax (229) 985-0997

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XGA11010 (GA)

Dental Clinic/Center: Definition to come...

About NPI 1225473630

Moultrie Orthodontics, P.c.'s National Provider Identifier is 1225473630, issued on Apr 30, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Moultrie, GA. The record was last updated on Apr 30, 2013.