Dan Melbourne Prucha, DDS
Periodontics · Ft Gordon, GA
Practice location
Bldg 38717, 38TH StreetUSA Dentac
Ft Gordon, GA 30905-5660
- Phone
- (706) 787-6927
- Fax
- (706) 787-2082
NPI record
- NPI
- 1174509202
- Entity type
- Individual (Type 1)
- Enumeration date
- December 20, 2005
- Last updated
- September 11, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Periodontics Primary | 1223P0300X |
30-01-4138 | OH |
| Dentist | 122300000X |
20-01-4138 | OH |
About Dr. Prucha
Dan Melbourne Prucha, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is Bldg 38717, 38TH Street, USA Dentac, Ft Gordon, GA 30905-5660. The NPI number 1174509202 was assigned on December 20, 2005 and the record was last updated on September 11, 2025.
Dr. Prucha lists 2 licenses in the registry: #30-01-4138 (OH) for Periodontics; #20-01-4138 (OH) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Dan Melbourne Prucha, DDS?
The NPI number is 1174509202.
What is the phone number of Dr. Prucha?
The phone number listed for the practice location is (706) 787-6927.
Where is Dr. Prucha located?
Bldg 38717, 38TH Street, USA Dentac, Ft Gordon, GA 30905-5660.
What is the taxonomy code for Dr. Prucha?
The primary taxonomy code is 1223P0300X – Periodontics; 1 more listed above.
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.
Other Periodontics providers in Ft Gordon
- Frederick Charles Bisch, DMDBldg 38717, 38TH Street