Healthcare Provider Details

I. General information

NPI: 1275659310
Provider Name (Legal Business Name): MICHELLE FINCHER IRELAND DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 GILMER FERRY RD STE 200
BALL GROUND GA
30107-2909
US

IV. Provider business mailing address

PO BOX 717
BALL GROUND GA
30107-0717
US

V. Phone/Fax

Practice location:
  • Phone: 678-845-0366
  • Fax: 678-845-0369
Mailing address:
  • Phone: 678-845-0366
  • Fax: 678-845-0369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberDN014006
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number4633
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number7266
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: