MEDICARE: DR. FRANK WINFRED PATTERSON 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
1	1223G0001X	General Practice Dentistry	7914	GA

General Provider Information

NPI Number	:	1265657472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK WINFRED PATTERSON DDS

Provider Business Mailing Address
First Line	:	1202 CLEO WAY
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-8356
Country	:	US
Telephone Number	:	706-278-2553
Fax Number	:	706-278-2386

Provider Business Practice Location Address
First Line	:	1202 CLEO WAY
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-8356
Country	:	US
Telephone Number	:	706-278-2553
Fax Number	:	706-278-2386

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	07/08/2007

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