James Mcclellan Deckman in Tyrone - General Practice

James Mcclellan Deckman - NPI 1255354494

James Mcclellan Deckman is a General Practice in Tyrone, Georgia. James Mcclellan Deckman practices all healthcare services and medical treatments related to General Practice. The NPI Number for James Mcclellan Deckman is 1255354494. The last update date is 2007-07-08.

James Mcclellan Deckman's current location address is 125a Commerce Dr, Tyrone, Georgia. You can contact this provider via phone number 7704878787 and fax number 7704861565. The mailing address for James Mcclellan Deckman is 125a Commerce Dr, Tyrone, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name James Mcclellan Deckman
Address 125a Commerce Dr, Tyrone, Georgia
Phone Number 7704878787
Fax Number 7704861565
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1255354494
Provider Enumeration Date 2006-07-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 125a Commerce Dr
City Tyrone
State Georgia (GA)
Post Code 302902034
Phone Number 7704878787
Fax Number 7704861565

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 9630
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about James Mcclellan Deckman

What is the unique 10-digit identifier code assigned to James Mcclellan Deckman by the Centers for Medicare & Medicaid Services?

The James Mcclellan Deckman has been issued the NPI (National Provider Identifier) 1255354494 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where James Mcclellan Deckman's facilities are situated?

The facilities of James Mcclellan Deckman are physically located at the following address: 125A Commerce Dr, Tyrone, GA, 302902034.

What is James Mcclellan Deckman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for James Mcclellan Deckman is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date was the 1255354494 assigned to James Mcclellan Deckman?

The James Mcclellan Deckman was issued its 1255354494 on 2006-07-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the James Mcclellan Deckman's information last updated?

The James Mcclellan Deckman's information was last updated on 2007-07-08.

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