NPI 1114069424 · live from the CMS NPI Registry
Hank R. Dallam, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Stockbridge, GA. National Provider Identifier 1114069424, active.
NPI record
| NPI | 1114069424 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1040 Eagles Landing Pkwy, Suite 200, Stockbridge, GA 30281 |
| Practice phone | 770-968-3302 |
| Mailing address | 1611 Waterford Lndg, Mcdonough, GA 30253 |
| Enumerated | February 13, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN013071 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.