Henry Jackson Proctor, DDS

General Practice Dentistry · Statesboro, GA

Individual Active NPI

NPI number 1174649016

Practice location

378 Savannah Ave
Statesboro, GA 30458-5163
Phone
(912) 764-4403

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NPI record

NPI
1174649016
Entity type
Individual (Type 1)
Enumeration date
March 22, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6795 GA

Mailing address

7059 Westside Rd
Statesboro, GA 30458-6328
Phone
(912) 865-5223

About Dr. Proctor

Henry Jackson Proctor, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 378 Savannah Ave, Statesboro, GA 30458-5163. The NPI number 1174649016 was assigned on March 22, 2007 and the record was last updated on July 8, 2007.

Dr. Proctor lists a license in the registry: #6795 (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 Henry Jackson Proctor, DDS?

The NPI number is 1174649016.

What is the phone number of Dr. Proctor?

The phone number listed for the practice location is (912) 764-4403.

Where is Dr. Proctor located?

378 Savannah Ave, Statesboro, GA 30458-5163.

What is the taxonomy code for Dr. Proctor?

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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