MEDICARE: DR. JULIA ANN ROUTHIER DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	012205	GA

General Provider Information

NPI Number	:	1386867000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIA ANN ROUTHIER DMD

Provider Business Mailing Address
First Line	:	6707 FOREST PARK DR
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31406-2507
Country	:	US
Telephone Number	:	912-352-9120
Fax Number	:	912-351-0933

Provider Business Practice Location Address
First Line	:	6707 FOREST PARK DR
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31406-2507
Country	:	US
Telephone Number	:	912-352-9120
Fax Number	:	912-351-0933

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	07/08/2007

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