Healthcare Provider Details

I. General information

NPI: 1942088059
Provider Name (Legal Business Name): DARIN ERROLL TOWNSEND II DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2023
Last Update Date: 09/19/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

767 VETERANS PKWY
HINESVILLE GA
31313-3950
US

IV. Provider business mailing address

PO BOX 2422
HINESVILLE GA
31310-7422
US

V. Phone/Fax

Practice location:
  • Phone: 912-877-6453
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN123260
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: