NPI 1073050423 · live from the CMS NPI Registry
Alex M Culberson, DMD, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Athens, GA. National Provider Identifier 1073050423, active.
NPI record
| NPI | 1073050423 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 600 Oglethorpe Ave Ste 3, Athens, GA 30606 |
| Practice phone | 706-319-8057 |
| Mailing address | 1020 Jamestown Blvd Bldg 100, Watkinsville, GA 30677 |
| Enumerated | January 24, 2017 |
| Last updated | August 30, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN015282 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.