Individual
DE'QUINCY BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSPH, MHS
Contact information
Practice address
2239 HIGHWAY 20 SE STE H, CONYERS, GA 30013-2087
(770) 921-3565
Mailing address
180 JACKSON ST NE APT 3214, ATLANTA, GA 30312-7919
(615) 586-1916
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123513
GA
Other
Enumeration date
06/05/2024
Last updated
07/19/2024
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