Judson T. Connell, DMDM

General Practice Dentistry · Suwanee, GA

Individual Active NPI

NPI number 1154483576

Practice location

3895 Johns Creek Pkwy
Suwanee, GA 30024-1295
Phone
(770) 623-8877

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NPI record

NPI
1154483576
Entity type
Individual (Type 1)
Enumeration date
December 14, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DO10993 GA

About Judson Connell

Judson T. Connell, DMDM is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3895 Johns Creek Pkwy, Suwanee, GA 30024-1295. The NPI number 1154483576 was assigned on December 14, 2006 and the record was last updated on July 8, 2007.

Judson Connell lists a license in the registry: #DO10993 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Judson T. Connell, DMDM?

The NPI number is 1154483576.

What is the phone number of Judson Connell?

The phone number listed for the practice location is (770) 623-8877.

Where is Judson Connell located?

3895 Johns Creek Pkwy, Suwanee, GA 30024-1295.

What is the taxonomy code for Judson Connell?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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