Advanced Dental Care
Organization Active NPI General Practice Dentistry · Valdosta, GA
NPI 1104152404 · NPPES record last updated Oct 22, 2009
Key facts
- NPI
- 1104152404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN011637 (GA)
- Legal business name
- ADVANCED DENTAL CARE
- Practice address
- 3211 Wildwood Plantation Dr
Valdosta, GA 31605-1042 - Phone
- (229) 242-4441
- Fax
- (229) 242-4471
- NPI assigned
- Oct 22, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. William Ashley Moorman, DMD
- Title
- Owner/Dentist
- Phone
- (229) 242-4441
Practitioners 2
National Provider Directory
Locations
3211 Wildwood Plantation Dr
Valdosta, GA 31605
Phone (229) 242-4441
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | DN011637 | GA | Yes |
Addresses
Primary practice location
3211 Wildwood Plantation Dr
Valdosta, GA 31605-1042
Mailing address
3211 Wildwood Plantation Dr
Valdosta, GA 31605-1042
Phone (229) 242-4441
Other providers in Valdosta, GA
- Lynnette Adams
- Meredith L Adams
- Evi Addoh
- Felicia Renee Adkins
- Adoration Home Health Care Georgia, LLC
- Advanced Hearing Solutions of Ga and FL, LLC
- Advanced Mobility, Inc
- Affinity Health Group
- Affordable Dentures & Implants - Valdosta II, P.C.
- Affordable Dentures & Implants - Valdosta IV, P.C.
All providers in Valdosta, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.