Search › Georgia › 1223P0300X
Dan Prucha, DDS
NPI 1174509202 · on the registry since 2005
Practice
- Address
- Bldg 38717, 38th Street
Usa Dentac
Ft Gordon, GA 30905 - Phone
- (706) 787-6927
- Fax
- (706) 787-2082
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Also registered as
- 122300000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia