Dale Cyril Madson
Dentist - General Practice
1046 Northside Dr East
Statesboro
, Georgia 30458
Dale Cyril Madson
Dentist - General Practice
1046 Northside Dr East
Statesboro
, Georgia 30458
(912) 764-7530
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dale Cyril Madson
- 1046 Northside Dr East
- Statesboro, GA
- Zip : 30458
- Fax : (912) 764-7530
- Phone : (912) 764-9187
Second Address
- Dale Cyril Madson
- 1046 Northside Dr East
- Statesboro, GA
- Zip : 30458
- Fax : (912) 764-7530
- Phone : (912) 764-9187
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | DN008617 | GA |
| Y | 213EG0000X | General Practice | DN008617 | GA |
National Provider Identifier
| NPI | 1003232752 |
|---|---|
| Provider Name | Dale Cyril Madson |
| First Address | Statesboro, GA 30458 |
| Second Address | Statesboro, GA 30458 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/03/2014 |
| Last Update Date | 05/03/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.