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DR. ROBERT GORDON ALDRICH DDS
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1871511915
Individual Registrant:DR. ROBERT GORDON ALDRICH DDS
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
5045 BLOOMFIELD RD MACON, GA 31206-4311 US
Tel: 478-781-6764 Fax: 478-781-6765
Tel: 478-781-6764 Fax: 478-781-6765
Contact information for business:
138 SUMMERFIELD DR MACON, GA 31210-3087 US
Tel: 478-477-2047 Fax: --
Tel: 478-477-2047 Fax: --
Registration Information:
NPI: 1871511915
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | GA | 7509 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
