Individual provider · Type 1 NPI

Michael Lee Minyard, D.M.D, M.P.H.

Pediatric Dentistry · Augusta, GA

NPI number 1972851954 Active

Practice location

1120 15th St
Augusta, GA 30912-2960

Mailing address

5445 Meridian Marks Rd Ste 200
Atlanta, GA 30342-4755

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN014462 (GA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1972851954

Michael Lee Minyard, D.M.D, M.P.H.'s National Provider Identifier is 1972851954, issued on Aug 22, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Augusta, GA. The record was last updated on Jul 3, 2019.