NPI age
19 years
Enumerated 2006-07-18
Across 358 active dentist providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (PA) | 001615861 | HIGHMARK BCBS |
| 01 (PA) | P00252465 | MEDICARE RAILROAD |
| 01 (PA) | 410390 | UPMC HEALTH PLAN |
| 01 (PA) | 86957 | GEISINGER HEALTH PLAN |
| 05 (PA) | 101115006 |
Solo or small practice. No other active providers share this practice address in NPPES.
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