Provider Demographics
NPI:1760641914
Name:G.G.DUGGER D.D.S,PC
Entity Type:Organization
Organization Name:G.G.DUGGER D.D.S,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:GUY
Authorized Official - Last Name:DUGGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,PC
Authorized Official - Phone:931-363-1531
Mailing Address - Street 1:403 E COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:TN
Mailing Address - Zip Code:38478-4315
Mailing Address - Country:US
Mailing Address - Phone:931-363-1531
Mailing Address - Fax:931-363-0149
Practice Address - Street 1:403 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:TN
Practice Address - Zip Code:38478-4315
Practice Address - Country:US
Practice Address - Phone:931-363-1531
Practice Address - Fax:931-363-0149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS25441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0033614OtherBC
TN16108OtherDORAL