Provider Demographics
NPI:1619629433
Name:BEMPAH, GERMAIN DAPAAH (DDS)
Entity Type:Individual
Prefix:
First Name:GERMAIN
Middle Name:DAPAAH
Last Name:BEMPAH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 BRADLEY ST APT A106
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-3255
Mailing Address - Country:US
Mailing Address - Phone:917-703-8941
Mailing Address - Fax:
Practice Address - Street 1:427 W BANKHEAD HWY
Practice Address - Street 2:
Practice Address - City:VILLA RICA
Practice Address - State:GA
Practice Address - Zip Code:30180-1702
Practice Address - Country:US
Practice Address - Phone:770-456-2550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-23
Last Update Date:2022-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN122556122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist