Individual
DR. JOHN P. FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
671 LUMPKIN CAMPGROUND RD S, STE 110, DAWSONVILLE, GA 30534-0931
(706) 265-1700
(706) 265-1702
Mailing address
671 LUMPKIN CAMPGROUND RD S, STE 110, DAWSONVILLE, GA 30534-0931
(706) 265-1700
(706) 265-1702
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901015818
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN012474
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00940794C
—
GA
Enumeration date
06/22/2005
Last updated
07/08/2007
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