Temiko Graves Braswell in Perry - Dentist
Temiko Graves Braswell - NPI 1104963032
Temiko Graves Braswell is a Dentist in Perry, Georgia. Temiko Graves Braswell practices all healthcare services and medical treatments related to Dentist. The NPI Number for Temiko Graves Braswell is 1104963032. The last update date is 2023-07-31.
Temiko Graves Braswell's current location address is 1133 Macon Rd, Perry, Georgia. You can contact this provider via phone number 4789883200 and fax number 4789883306. The mailing address for Temiko Graves Braswell is 1133 Macon Rd, Perry, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Temiko Graves Braswell |
|---|---|
| Address | 1133 Macon Rd, Perry, Georgia |
| Phone Number | 4789883200 |
| Fax Number | 4789883306 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1104963032 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2023-07-31 |
Provider Mailing Address Detail
| Address | 1133 Macon Rd |
|---|---|
| City | Perry |
| State | Georgia (GA) |
| Post Code | 310692651 |
| Phone Number | 4789883200 |
| Fax Number | 4789883306 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN011938 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1517848 | GA | UNITED CONCORDIA | |
| 00954687-B | GA | -- | |
| 100713 | GA | AVESIS |
Post Comment/ Review Below
What is the unique identification code assigned to Temiko Graves Braswell by the Centers for Medicare & Medicaid Services?
The Temiko Graves Braswell has been issued the NPI (National Provider Identifier) 1104963032. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Temiko Graves Braswell is located?
The Temiko Graves Braswell is situated at the following address: 1133 Macon Rd, Perry, GA, 310692651.
What is Temiko Graves Braswell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Temiko Graves Braswell is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date was the 1104963032 assigned to Temiko Graves Braswell?
The Temiko Graves Braswell was issued its 1104963032 on 2007-01-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Temiko Graves Braswell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Temiko Graves Braswell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-07-31.