Provider Demographics
NPI:1144589326
Name:W. BRUCE FINK DDS PC
Entity Type:Organization
Organization Name:W. BRUCE FINK DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FINK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:770-331-1092
Mailing Address - Street 1:106 GOLD LEAF CT
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-9719
Mailing Address - Country:US
Mailing Address - Phone:770-331-1092
Mailing Address - Fax:
Practice Address - Street 1:1816 EAGLE DR STE 200-A
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-8274
Practice Address - Country:US
Practice Address - Phone:770-926-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-09
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial PathologyGroup - Single Specialty