William D Dailey, DMD
Individual provider Active NPI Dentist · Garden City, GA
NPI 1275694010 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1275694010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 9032 (GA)
- Practice address
- 4019 Augusta Rd
Suite 106
Garden City, GA 31408-2121 - Phone
- (912) 966-5489
- Fax
- (912) 966-5949
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9032 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garden City Denture and Dental Center, LLC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9032 | GA | Yes |
Addresses
Primary practice location
4019 Augusta Rd
Suite 106
Garden City, GA 31408-2121
Mailing address
4019 Augusta Rd
Suite 106
Garden City, GA 31408-2121
Phone (912) 966-5489
Other providers in Garden City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.