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NPI Code Detail

MEDICARE: WYE TONY CRIBBS RDH

MEDICARE: WYE TONY CRIBBS RDH
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
1124Q00000XDental HygienistDH7825GA

General Provider Information

NPI Number : 1659239135
Entity Type Code : Individual
Provider Name (Legal Business Name) : WYE TONY CRIBBS RDH
Provider Business Mailing Address
First Line : 1046 RIDGE AVE SW
Second Line :
City : ATLANTA
State : GA
Zip : 30315-1640
Country : US
Telephone Number : 770-589-8817
Fax Number :
Provider Business Practice Location Address
First Line : 1046 RIDGE AVE SW
Second Line :
City : ATLANTA
State : GA
Zip : 30315-1640
Country : US
Telephone Number : 770-589-8817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ WYE TONY CRIBBS RDH” Practice Location

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