Provider Demographics
NPI:1700076742
Name:PINSAK, GEORGE FRANCIS (DMD, MSD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:FRANCIS
Last Name:PINSAK
Suffix:
Gender:M
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 E FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-5028
Mailing Address - Country:US
Mailing Address - Phone:704-289-9473
Mailing Address - Fax:704-283-9185
Practice Address - Street 1:1102 E FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5028
Practice Address - Country:US
Practice Address - Phone:704-289-9473
Practice Address - Fax:704-283-9185
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC37091223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics