Justin Mcgovern is a Dentist in Pearson, Georgia. Justin Mcgovern practices all healthcare services and medical treatments related to Dentist. The NPI Number for Justin Mcgovern is 1366606519. The last update date is 2015-09-08.
Justin Mcgovern's current location address is 4797 Antioch Church Rd, Pearson, Georgia. You can contact this provider via phone number 9123892389. The mailing address for Justin Mcgovern is 4797 Antioch Church Rd, Pearson, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Mcgovern |
|---|---|
| Address | 4797 Antioch Church Rd, Pearson, Georgia |
| Phone Number | 9123892389 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1366606519 |
|---|---|
| Provider Enumeration Date | 2008-07-16 |
| Last Updated Date | 2015-09-08 |
Provider Mailing Address Detail
| Address | 4797 Antioch Church Rd |
|---|---|
| City | Pearson |
| State | Georgia (GA) |
| Post Code | 316422850 |
| Phone Number | 9123892389 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN013714 |
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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 |
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What is the Justin Mcgovern's unique identification number?
The Justin Mcgovern has been assigned the NPI (National Provider Identifier) Number 1366606519 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Justin Mcgovern is physically located?
The Justin Mcgovern is situated at the following address: 4797 Antioch Church Rd, Pearson, GA 316422850.
What is Justin Mcgovern's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Justin Mcgovern'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 Justin Mcgovern receive the assignment of its 1366606519 from the Centers for Medicare & Medicaid Services?
The Justin Mcgovern was issued its 1366606519 by the Centers for Medicare & Medicaid Services on 2008-07-16.
As of what date were the details pertaining to Justin Mcgovern last refreshed?
The information related to the Justin Mcgovern, including its address, specialty, and other relevant details, was last updated on 2015-09-08.