Individual
DAVID COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1260 HIGHWAY 54 W STE 200, FAYETTEVILLE, GA 30214-4513
(770) 461-2101
Mailing address
1260 HIGHWAY 54 W STE 200, FAYETTEVILLE, GA 30214-4513
(770) 461-2101
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN122383
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2017
Last updated
07/28/2021
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