MEDICARE: DR. LOUIS ANDREW DAY DMD

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	1223D0001X	Public Health Dentistry	011825	GA
2	1223G0001X	General Practice Dentistry	011825	GA

General Provider Information

NPI Number	:	1639197403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS ANDREW DAY DMD

Provider Business Mailing Address
First Line	:	138 BATTLEFIELD CROSSING CT
Second Line	:
City	:	RINGGOLD
State	:	GA
Zip	:	30736-5176
Country	:	US
Telephone Number	:	706-861-9022
Fax Number	:	706-866-7765

Provider Business Practice Location Address
First Line	:	138 BATTLEFIELD CROSSING CT
Second Line	:
City	:	RINGGOLD
State	:	GA
Zip	:	30736-5176
Country	:	US
Telephone Number	:	706-861-9022
Fax Number	:	706-866-7765

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	04/17/2008

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