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NPI Code Detail

MEDICARE: MR. FRANK A TERRACINA JR. DMD

MEDICARE:  MR. FRANK A TERRACINA JR. DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryGA 11300GA

General Provider Information

NPI Number : 1588683916
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FRANK A TERRACINA JR. DMD
Provider Business Mailing Address
First Line : 290 MERCHANTS SQ
Second Line : SUITE A
City : DALLAS
State : GA
Zip : 30132-5029
Country : US
Telephone Number : 770-505-6400
Fax Number : 770-505-6444
Provider Business Practice Location Address
First Line : 290 MERCHANTS SQ
Second Line : SUITE A
City : DALLAS
State : GA
Zip : 30132-5029
Country : US
Telephone Number : 770-505-6400
Fax Number : 770-505-6444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 07/09/2007

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Directions to “ MR. FRANK A TERRACINA JR. DMD” Practice Location

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