Provider Demographics
NPI:1770523060
Name:LOYNES, MURGESH JOHN (DDS)
Entity type:Individual
Prefix:
First Name:MURGESH
Middle Name:JOHN
Last Name:LOYNES
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 1:1196 PINE GROVE RD
Mailing Address - Street 2:
Mailing Address - City:TALLAPOOSA
Mailing Address - State:GA
Mailing Address - Zip Code:30176-3137
Mailing Address - Country:US
Mailing Address - Phone:770-574-2812
Mailing Address - Fax:770-574-5020
Practice Address - Street 1:1196 PINE GROVE RD
Practice Address - Street 2:
Practice Address - City:TALLAPOOSA
Practice Address - State:GA
Practice Address - Zip Code:30176-3137
Practice Address - Country:US
Practice Address - Phone:770-574-2812
Practice Address - Fax:770-574-5020
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN014563122300000X
MI2901018055122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist