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Individual
JOHN RICHARD SCUBA
Active
Individual
JOHN RICHARD SCUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
013256
GA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
052372
GA
Other
Enumeration date
05/15/2006
Last updated
09/11/2025
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