Most Relevant Information
Provider Data
| NPI Number: | 1003232752 |
| Provider Name: | DALE CYRIL MADSON DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DN008617 |
Most Important Dates
| Enumeration Date: | 03/05/2014 |
| Last Updated: | 03/05/2014 |
Provider Practice Location
1046 NORTHSIDE DR EAST
STATESBORO
GA
30458
Practice Location Phone/Fax
| Phone: | 9127649187 |
| Fax: | 9127647530 |
Provider Mailing Location
1046 NORTHSIDE DR EAST
STATESBORO
GA
30458
Provider Mailing Phone/Fax
| Phone: | 9127649187 |
| Fax: | 9127647530 |