Provider Demographics
NPI:1114952306
Name:MCMASTER, GUY (DMD)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:
Last Name:MCMASTER
Suffix:
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 1:2931 PACES FERRY RD SE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3732
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2931 PACES FERRY RD SE
Practice Address - Street 2:SUITE 10
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-3732
Practice Address - Country:US
Practice Address - Phone:770-432-8516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0098191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice