WILLIAM BRUCE FINK (NPI# 1700077922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700077922 |
| Entity Type | Individual |
| Full Name | WILLIAM BRUCE FINK |
| Credential | DDS |
| Practice Address |
1918 Highway 74 N Tyrone GA 30290-1604 |
| Practice Telephone | 7708599577 |
| Practice Fax Number | 7708185850 |
| Mailing Telephone | 7708599577 |
| Mailing Fax Number | 7708185850 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2019-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN011355 | GA | Dental Providers |
| N | 122300000X | Dentist | DNO11355 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | COMMERCIAL PAYERS | 1700077922 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1918 Highway 74 N, Tyrone, GA 302901604 | 7708599577 | 7708185850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417081522 | William Fink | Dentist | 505 W Historic Mitchell St, Milwaukee, WI 53204-3510 | 2007-03-14 |
| 1093840902 | William Louis Fink | Psychiatry & Neurology | 1707 Main St, Suite 404, Longmont, CO 80501-7407 | 2007-02-22 |
| 1902854300 | William Robert Fink | Psychologist | 157 Towne Ave, Plainfield, VT 05667-9425 | 2006-05-05 |
| 1306840889 | William Fink | Internal Medicine | 1086 Franklin St, Bldg E, Johnstown, PA 15905-4305 | 2005-06-13 |
| Street Address |
1918 HIGHWAY 74 N |
| City | TYRONE |
| State | GA |
| Zip Code | 30290-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144589326 | W. Bruce Fink Dds PC | Dentist | 1918 Highway 74 N, Tyrone, GA 30290-1604 | 2012-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407215361 | Kaitlin Lackey | Occupational Therapist | 105 Glendalough Court, Suite H, Tyrone, GA 30290 | 2016-02-19 |
| 1114211745 | Johannes Daniel Smit | Pharmacist | 525 Valleywood Drive, Tyrone, GA 30290 | 2011-05-31 |
| 1760700199 | Georgia Integrative Medicine | Preventive Medicine | 120 Milbrook Village Drive, Suite E, Tyrone, GA 30290 | 2010-05-10 |
| 1427384783 | Exelle Home Care | Home Health | 105 Silverthorn Drive, Tyrone, GA 30290 | 2009-10-21 |
| 1386884138 | Genesys Ob/gyn, LLC | Clinic/Center | 245 Greencastle Road, Tyrone, GA 30290 | 2009-03-05 |
| 1689858805 | Immediate Care Centers of Georgia, LLC | Clinic/Center | 190 Greencastle Rd., Tyrone, GA 30290 | 2007-12-24 |
| 1437212834 | Dawn M Coffman | Physician Assistant | 190 Handley Rd., Tyrone, GA 30290 | 2006-12-18 |
| 1912971805 | Jason Rex Lee | Dentist | 195 Greencastle Rd, Tyrone, GA 30290 | 2006-02-15 |
| 1053898759 | Heather Renee Ellis | Physical Therapist | 62 Carriage Oaks Dr, Tyrone, GA 30290 | 2018-07-25 |
| 1134630858 | Marjorie Yvette Elibert | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290 | 2017-10-20 |
| Find all providers in zip 30290 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104942804 | Jason E. Bihary | Dentist | 1055 Logan Ave, Tyrone, PA 16686-1521 | 2007-03-22 |
| 1356432124 | Bryan David Aungst | Dentist | 4579 E Pleasant Valley Blvd, Tyrone, PA 16686-7032 | 2006-09-27 |
| 1417057134 | Francis J Mcclain | Dentist | 1014 Logan Avenue, Tyrone, PA 16686 | 2006-09-23 |
| 1639277080 | Carolyn Margaret Keyes | Dentist | 101 N Magnolia & Hwy 54, Tyrone, OK 73951 | 2006-09-20 |
| 1457466765 | Anh T Khieu | Dentist | 1522 Highway 74 N, Tyrone, GA 30290-1663 | 2006-08-20 |
| 1912971805 | Jason Rex Lee | Dentist | 195 Greencastle Rd, Tyrone, GA 30290 | 2006-02-15 |
| 1023183035 | Ace Orthodontics and Dentistry,llc | Dentist | 1922 Highway 74 N, Ste. E, Tyrone, GA 30290-1660 | 2006-11-22 |
| 1457325409 | William Cary Dunson | Dentist | 195 Greencastle Rd, Tyrone, GA 30290 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920445 | Islands Family Dental, LLC | Dentist | 3 Wilmington Village Way, Savannah, GA 31410-3700 | 2020-10-19 |
| 1528665486 | Mount Vernon Dental Group, LLC | Dentist | 2472 Jett Ferry Rd Ste 430, Dunwoody, GA 30338-3059 | 2020-10-05 |
| 1144835570 | Affordable Dentures & Implants of Georgia II, LLC | Dentist | 3675 Satellite Blvd Ste 700, Duluth, GA 30096-2309 | 2020-09-11 |
| 1164037800 | Darby Kathryn Gentry | Dentist | 3585 Lawrenceville Suwanee Rd # 101-a, Suwanee, GA 30024-7058 | 2020-09-10 |
| 1437763380 | Ah Chong | Dentist | 755 Commerce Dr Ste 513, Decatur, GA 30030-2618 | 2020-09-08 |
| 1992319271 | Jillian Nicole Felton | Dentist | 4070 Lavista Rd Ste 102, Tucker, GA 30084-5228 | 2020-09-03 |
| 1295347748 | Elizabeth W Muraya | Dentist | 5218 Jimmy Lee Smith Pkwy Ste 100, Hiram, GA 30141-2747 | 2020-08-17 |
| 1942818182 | Prasanthi Pattabhi | Dentist | 2993 Normandy Rdg, Lawrenceville, GA 30044-7869 | 2020-07-14 |
| 1700404522 | Rocio Jacobo Rubio | Dentist | 23 Old Atlanta Hwy Ste 200, Newnan, GA 30263-6341 | 2020-07-08 |
| 1265059364 | Abboss Sharifzadeh | Dentist | 4090 Jiles Rd Nw, Kennesaw, GA 30144-1105 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.