Provider Demographics
NPI:1760569214
Name:TOWNSEND, CYNDIE K (DMD)
Entity Type:Individual
Prefix:DR
First Name:CYNDIE
Middle Name:K
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:WINDER
Mailing Address - State:GA
Mailing Address - Zip Code:30680-2202
Mailing Address - Country:US
Mailing Address - Phone:770-867-3275
Mailing Address - Fax:770-586-5718
Practice Address - Street 1:212 E BROAD ST
Practice Address - Street 2:
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680-2202
Practice Address - Country:US
Practice Address - Phone:770-867-3275
Practice Address - Fax:770-586-5718
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0113961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice