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NPI Code Detail

MEDICARE: WILLIAM BRUCE FINK DDS

MEDICARE:   WILLIAM BRUCE FINK  DDS
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
1122300000XDentistDNO11355GA
2122300000XDentistDN011355GA
31223D0001XPublic Health DentistryDNO11355GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11255281721OTHERGANPI
21700077922OTHERGACOMMERCIAL PAYERS
31144589326OTHERGANPI

General Provider Information

NPI Number : 1700077922
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM BRUCE FINK DDS
Provider Business Mailing Address
First Line : 106 GOLD LEAF CT
Second Line :
City : CANTON
State : GA
Zip : 30114-9719
Country : US
Telephone Number : 770-331-1092
Fax Number : 770-818-5850
Provider Business Practice Location Address
First Line : 1816 EAGLE DR STE 200-A
Second Line :
City : WOODSTOCK
State : GA
Zip : 30189-8274
Country : US
Telephone Number : 770-926-0000
Fax Number : 770-818-5850
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2007
Last Update Date : 04/08/2026

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Directions to “ WILLIAM BRUCE FINK DDS” Practice Location

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