Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN MICHAEL AMBROSE, DDS
ActiveDR. JOHN MICHAEL AMBROSE, DDS is a Periodontology healthcare provider located in SAINT MARYS, Georgia. NPI 1306811815 is currently active in the NPPES registry. Verify at CMS.
Periodontology · SAINT MARYS, GA
Registration Details
- NPI Number
- 1306811815
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 19, 2006 (20.447001746601 yrs)
- Last Updated
- Jul 8, 2007
- License
-
11405 (GA)
Practice Information
- Address
-
4445 HWY 40STE 405SAINT MARYS, GA, 315584099Browse GA providers · Browse ZIP 31558
- Phone
- 9125107123
- Fax
- 9125107126
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.