Provider Demographics
NPI:1184161119
Name:DINULESCU, GEORGE MARIUS (DDS)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:MARIUS
Last Name:DINULESCU
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 1:5450 ESTATE VIEW TRCE
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-3406
Mailing Address - Country:US
Mailing Address - Phone:770-262-4096
Mailing Address - Fax:
Practice Address - Street 1:3780 OLD NORCROSS RD STE 303
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-1742
Practice Address - Country:US
Practice Address - Phone:770-262-4096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-29
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0153401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice