Individual provider · Type 1 NPI
Gordon L. Brady, DMD
Oral and Maxillofacial Surgery (Dentist) · Conyers, GA
NPI number
1619085396
Active
Practice location
1463 Klondike Rd, Suite C
Conyers, GA 30094
Mailing address
1463 Klondike Road, Suite C
Conyers, GA 30094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DN008601 (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.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Conyers
- Steven D. Pollack, DDSOral and Maxillofacial Surgery (Dentist) Conyers, GA NPI 1366550063
- Robert E. Going Jr., DDSOral and Maxillofacial Surgery (Dentist) Conyers, GA NPI 1376651034
- Fulton D. Lewis Iii, DMDOral and Maxillofacial Surgery (Dentist) Conyers, GA NPI 1558479253
- Brett C. Gray, DMD MDOral and Maxillofacial Surgery (Dentist) Conyers, GA NPI 1619085362
- Steven P. King, DDSOral and Maxillofacial Surgery (Dentist) Conyers, GA NPI 1669580312
- Richard S. Singer, DDSOral and Maxillofacial Surgery (Dentist) Conyers, GA NPI 1750499414
- Brenda Jean Hall, DDS, MDOral and Maxillofacial Surgery (Dentist) Conyers, GA NPI 1942478755
About NPI 1619085396
Gordon L. Brady, DMD's National Provider Identifier is 1619085396, issued on Aug 25, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Conyers, GA. The record was last updated on Jul 8, 2007.