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NPI Code Detail

MEDICARE: DR. MARION DRENNAN DOBBS JR. DDS

MEDICARE: DR. MARION DRENNAN DOBBS JR. DDS
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry8338GA

General Provider Information

NPI Number : 1528205903
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARION DRENNAN DOBBS JR. DDS
Provider Business Mailing Address
First Line : 618 N CHURCH ST
Second Line :
City : THOMASTON
State : GA
Zip : 30286-3612
Country : US
Telephone Number : 706-647-4633
Fax Number : 706-647-4567
Provider Business Practice Location Address
First Line : 618 N CHURCH ST
Second Line :
City : THOMASTON
State : GA
Zip : 30286-3612
Country : US
Telephone Number : 706-647-4633
Fax Number : 706-647-4567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2009
Last Update Date : 01/07/2009

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