Michael Clarkson
Individual provider Active NPI General Practice Dentistry · Blairsville, GA
NPI 1891879656 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891879656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN012994 (GA)
- Practice address
- 3431 Murphy Hwy
Blairsville, GA 30512 - Phone
- (706) 865-0357
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| DN012994 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattahoochee Dental Associates | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN012994 | GA | Yes |
Addresses
Primary practice location
3431 Murphy Hwy
Blairsville, GA 30512
Mailing address
PO Box 353
Maysville, GA 30558-0353
Phone (706) 865-0357
Other providers in Blairsville, GA
- Jennifer Crews Chastain
- Chattahoochee EMS LLC
- Cheryl McRae-Bergeron, PC
- Chiropractic Arts PC
- Libby Christainson
- William Kyle Cody
- Amy S Cole
- Cassidy Coleman
- Hana Gabriella Coleman
- Peggy Elizabeth Coleman
All providers in Blairsville, GA · General Practice Dentistry in Georgia
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.