NPI age
19 years
Enumerated 2006-10-17
Across 4309 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 9181770 | DORAL |
| 01 (GA) | 100674 | AVESIS |
| 01 (GA) | 0015637 | ASSURANT |
| 01 (GA) | 600-25826 | BLUE CROSS BLUE SHIELD AL |
| 05 (GA) | 00965313A | |
| 01 (GA) | 01419459 | UNITED CONCORDIA |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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