Provider Demographics
NPI:1538280862
Name:PEETS, NORMAN DAVIS III (DDS)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:DAVIS
Last Name:PEETS
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:615 GREEN ST NW
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3378
Mailing Address - Country:US
Mailing Address - Phone:770-532-2336
Mailing Address - Fax:770-536-3905
Practice Address - Street 1:615 GREEN ST NW
Practice Address - Street 2:SUITE 101
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3378
Practice Address - Country:US
Practice Address - Phone:770-532-2336
Practice Address - Fax:770-536-3905
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA0111071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice