Individual
CLINTON DAVID BAUGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3961 HOLCOMB BRIDGE RD STE 100, PEACHTREE CORNERS, GA 30092-5298
(770) 449-0202
(770) 502-6772
Mailing address
3961 HOLCOMB BRIDGE RD STE 100, PEACHTREE CORNERS, GA 30092-5298
(770) 449-0202
(770) 502-6772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014793
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2013
Last updated
05/20/2026
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