MOULTRIE ORTHODONTICS, P.C. – NPI #1225473630
Clinic/Center

MOULTRIE ORTHODONTICS, P.C. is an AHC clinic located in MOULTRIE, GA. NPPES has assigned the NPI number 1225473630 to MOULTRIE ORTHODONTICS, P.C. on April 30, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOULTRIE ORTHODONTICS, P.C. below.

NPI Profile for
MOULTRIE ORTHODONTICS, P.C.

NPI Number
1225473630
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOULTRIE ORTHODONTICS, P.C.
Primary location
12 LONGLEAF OFFICE PARK
MOULTRIE, GA 31768
Phone: (229) 985-4715 Fax: (229) 985-0997
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DALLAS MARGESON
PRESIDENT
Phone: (229) 985-4715
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 GA GA11010

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.