Mary Jorgensen, DDS

NPI 1821091521 · on the registry since 2005 · sole proprietor

Practice

Address: 224 Shallowford Rd Nw
Gainesville, GA 30504
Phone: (770) 536-1170
Fax: (770) 536-4653
Organisation at this address: Henry G. Goble, D.D.S., P.C.
Legacy Family Dentistry, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-02-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia