Wellformed AI

NPI 1316134174 · live from the CMS NPI Registry

Braswell E. Collins, D.D.S.

Dentist, Orthodontics and Dentofacial Orthopedics in Macon, GA. National Provider Identifier 1316134174, active.

NPI record

NPI1316134174 Type 1 · individual
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location2160 Vineville Ave, Macon, GA 31204
Practice phone478-742-4332
EnumeratedSeptember 26, 2007
Last updatedSeptember 26, 2007
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400X7851 (GA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.