IndividualActive
Clyde Marlow, DDS
NPI 1487870200 · Oral and Maxillofacial Surgery (Dentist) · Macon, GA
Provider details
- NPI number
- 1487870200
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6880 (GA)
Specialties & taxonomies
Dental Providers
Practice location
740 1st St
Macon, GA 31201-6840
Phone: (478) 745-0200
Approximate (ZIP-level) locationGet directions
Mailing address
740 1st St
Macon, GA 31201-6840
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.