Individual provider · Type 1 NPI
Collins Thomas Lyons, DDS
Periodontics · Fort Stewart, GA
NPI number
1487782066
Active
Practice location
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Fax (912) 767-0558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DN010409 (GA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1487782066
Collins Thomas Lyons, DDS's National Provider Identifier is 1487782066, issued on Mar 2, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fort Stewart, GA. The record was last updated on Jun 30, 2016.