George Lee Washington, D.D.S.
Individual provider Active NPI Dentist · Henning, TN
NPI 1770915225 · NPPES record last updated Aug 7, 2013
Key facts
- NPI
- 1770915225
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 6886 (TN)
- Practice address
- 480 Green Chapel Rd
Henning, TN 38041-5726 - Phone
- (731) 738-5044
- NPI assigned
- Aug 7, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 50944 | NY | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6886 | TN | Yes |
| Dentist | 122300000X | 50944 | NY |
Addresses
Primary practice location
480 Green Chapel Rd
Henning, TN 38041-5726
Mailing address
480 Green Chapel Rd
Henning, TN 38041-5726
Phone (731) 738-5044
Other providers in Henning, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2013. 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.