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NPI Code Detail

MEDICARE: DR. HECTOR J. VIERA DMD

MEDICARE: DR. HECTOR J. VIERA 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
1122300000XDentistDN014945GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11760580641OTHERGANPI

General Provider Information

NPI Number : 1750388906
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HECTOR J. VIERA DMD
Provider Business Mailing Address
First Line : 643 MAIN ST
Second Line :
City : PALMETTO
State : GA
Zip : 30268-1138
Country : US
Telephone Number : 404-929-8824
Fax Number :
Provider Business Practice Location Address
First Line : 643 MAIN ST
Second Line :
City : PALMETTO
State : GA
Zip : 30268-1138
Country : US
Telephone Number : 770-463-4644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 06/03/2019

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