Southern Orthodontics

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1548473754

Southern Orthodontics is an Orthodontics and Dentofacial Orthopedics Dentistry in Moultrie, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in: GA
In the registry since: 2007

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Practice location Address checks out

12 Long Leaf Ofc Park
Moultrie, GA 31768-6780
Phone: (229) 985-4715
Fax: (229) 985-0997

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary)	Taxonomy 1223X0400X · Licence 11208 (GA)

Record details

NPI number	1548473754
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	J Morris — President · (229) 985-4715
NPI enumerated	May 7, 2007
Last updated in NPPES	August 22, 2020
Mailing address	12 Long Leaf Office Park, Moultrie, GA 31768-6780