Provider Demographics
NPI:1639381213
Name:PINSON, MARION KAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARION
Middle Name:KAY
Last Name:PINSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 GEORGE C WILSON DR
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-5700
Mailing Address - Country:US
Mailing Address - Phone:706-228-3633
Mailing Address - Fax:706-868-6205
Practice Address - Street 1:1215 GEORGE C WILSON DR
Practice Address - Street 2:SUITE B-2
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-5700
Practice Address - Country:US
Practice Address - Phone:706-228-3633
Practice Address - Fax:706-868-6205
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0109711223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics