Provider Demographics
NPI:1003981317
Name:PYLANT, F NEAL JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:F
Middle Name:NEAL
Last Name:PYLANT
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 HAWTHORNE LANE
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606
Mailing Address - Country:US
Mailing Address - Phone:706-543-0026
Mailing Address - Fax:706-543-9801
Practice Address - Street 1:375 HAWTHORNE LANE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606
Practice Address - Country:US
Practice Address - Phone:706-543-0026
Practice Address - Fax:706-543-9801
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0093701223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics