Damron, Justin Brian

Damron, Justin Brian is an individual health care provider with primary practice located at 4815 Paulsen St , Savannah GA 31405-4418. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Damron, Justin Brian can be contacted via phone (912) 352-2324.

Contact Information

Primary practice address
4815 Paulsen St Savannah GA 31405-4418
Phone: (912) 352-2324
Fax: (912) 354-0935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN014571 Georgia

Profile Details

NPI number 1932330164
LBN Legal business name Damron, Justin Brian
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2009
Last updated Aug 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932330164 NPPES
Georgia MEDICAID 003136282B
Georgia MEDICAID 003136282C

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