MEDICARE: DR. JOSE-HERICK T NAPENAS 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	DN012901	GA

General Provider Information

NPI Number	:	1356451272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE-HERICK T NAPENAS DDS

Provider Business Mailing Address
First Line	:	3030 HEADLAND DR SW
Second Line	:	STE 300
City	:	ATLANTA
State	:	GA
Zip	:	30311-5439
Country	:	US
Telephone Number	:	404-344-8778
Fax Number	:

Provider Business Practice Location Address
First Line	:	3030 HEADLAND DR SW
Second Line	:	STE 300
City	:	ATLANTA
State	:	GA
Zip	:	30311-5439
Country	:	US
Telephone Number	:	404-344-8778
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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