Individual
DR. BRIAN MEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(478) 731-8582
Mailing address
830 MAYO LN, AUGUSTA, GA 30907-9293
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9511
SC
1223G0001X
General Practice Dentistry
DN015902
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN015902
GEORGIA BOARD OF DENTISTRY
GA
Enumeration date
04/05/2019
Last updated
12/18/2019
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