Individual
GREG SAMPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1008 DRUID PARK AVE, AUGUSTA, GA 30904-5848
(706) 733-7999
(706) 733-7343
Mailing address
1008 DRUID PARK AVE, AUGUSTA, GA 30904-5848
(706) 733-7999
(706) 733-7343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12044
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZG2044
—
SC
Enumeration date
01/23/2007
Last updated
07/08/2007
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