Organization · Type 2 NPI

Providence Dental LLC

General Practice Dentistry · Macon, GA

NPI number 1295189595 Active

About NPI 1295189595

Providence Dental LLC's National Provider Identifier is 1295189595, issued on Apr 22, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Macon, GA. The record was last updated on Jul 11, 2024.