NPI age
19 years
Enumerated 2006-08-31
Across 4309 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000471875 | |
| 01 (GA) | 1429244 | UNITED CONCORDIA |
| 01 (GA) | 100759 | AVESIS |
| 01 (GA) | 9180606 | DENTAQUEST |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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