Dana W Mullis in Eastman - Dentist

Dana W Mullis - NPI 1740318625

Dana W Mullis is a Dentist in Eastman, Georgia. Dana W Mullis practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dana W Mullis is 1740318625. The last update date is 2007-07-08.

Dana W Mullis's current location address is Po Box 4098, Eastman, Georgia. You can contact this provider via phone number 4783741127 and fax number 4783743588. The mailing address for Dana W Mullis is Po Box 4098, Eastman, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Dana W Mullis
Address Po Box 4098, Eastman, Georgia
Phone Number 4783741127
Fax Number 4783743588
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1740318625
Provider Enumeration Date 2007-03-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 4098
City Eastman
State Georgia (GA)
Post Code 310234098
Phone Number 4783741127
Fax Number 4783743588

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 11878
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00803151B GA --

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FAQs about Dana W Mullis

What is the unique identification code assigned to Dana W Mullis by the Centers for Medicare & Medicaid Services?

The Dana W Mullis has been issued the NPI (National Provider Identifier) 1740318625. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Dana W Mullis's facilities are situated?

The facilities of Dana W Mullis are physically located at the following address: Po Box 4098, Eastman, GA, 310234098.

What is Dana W Mullis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Dana W Mullis's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1740318625 to Dana W Mullis?

The Centers for Medicare & Medicaid Services originally issued the 1740318625 to Dana W Mullis on 2007-03-01.

When was the information pertaining to Dana W Mullis most recently updated or revised?

The details related to Dana W Mullis, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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