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NPI Code Detail

MEDICARE: TOMMY TURKIEWICZ D.M.D.

MEDICARE: TOMMY TURKIEWICZ D.M.D.
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

General Provider Information

NPI Number : 1073529004
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOMMY TURKIEWICZ D.M.D.
Provider Business Mailing Address
First Line : 101 PARK PL
Second Line :
City : PEACHTREE CITY
State : GA
Zip : 30269-1273
Country : US
Telephone Number : 770-486-1218
Fax Number : 770-486-5704
Provider Business Practice Location Address
First Line : 101 PARK PL
Second Line :
City : PEACHTREE CITY
State : GA
Zip : 30269-1273
Country : US
Telephone Number : 770-486-1218
Fax Number : 770-486-5704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 07/08/2007

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