BENJAMIN PRIDEMORE JR., DDS

Dentist - Orthodontics and Dentofacial Orthopedics

Active Individual
NPI: 1336153592

Practice Address

23 JOHN MADDOX DR NW
Rome, GA 30165

Phone: (706) 234-0877

Specialties

Specialty Code Primary License
Dentist - Orthodontics and Dentofacial Orthopedics 1223X0400X Yes DN007095 (GA)

Frequently Asked Questions

NPI 1336153592 is the National Provider Identifier for BENJAMIN PRIDEMORE JR., DDS, a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Rome, GA. This NPI was enumerated on July 27, 2006.
BENJAMIN PRIDEMORE JR., DDS practices at 23 JOHN MADDOX DR NW, Rome, GA 30165.

Quick Facts

NPI
1336153592
Type
Individual
Enumerated
Jul 27, 2006
Last Updated
Jul 8, 2007

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