NPI age
19 years
Enumerated 2007-02-08
Across 4309 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00450722C | |
| 01 (GA) | 9752232 | UNITED CONCORDIA |
| 01 (GA) | 582201294 | DELTA DENTAL |
| 01 (GA) | 6743 | DORAL DENTAL SERVICES |
| 01 (GA) | 815505 | TRICARE |
| 01 (GA) | 100447 | AVESIS |
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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