Individual provider · Type 1 NPI
Kenneth Ray Collins Jr., DDS
Oral and Maxillofacial Surgery (Dentist) · Fayetteville, GA
NPI number
1114006020
Active
Practice location
100 Carnegie Pl, Suite 108
Fayetteville, GA 30214-3905
Fax (770) 461-0488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 012476 (GA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Fayetteville
- Errol Morgan Iii, DDSOral and Maxillofacial Surgery (Dentist) Fayetteville, GA NPI 1407528375
- David Cole, DMDOral and Maxillofacial Surgery (Dentist) Fayetteville, GA NPI 1558895078
- Jennifer Darlene Keyser, DDSOral and Maxillofacial Surgery (Dentist) Fayetteville, GA NPI 1588683171
- Eyosiyas Bekele, DMDOral and Maxillofacial Surgery (Dentist) Fayetteville, GA NPI 1952178055
About NPI 1114006020
Kenneth Ray Collins Jr., DDS's National Provider Identifier is 1114006020, issued on Nov 2, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fayetteville, GA. The record was last updated on Jul 8, 2007.