DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH RAY COLLINS JR., D.D.S.

Active

DR. KENNETH RAY COLLINS JR., D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in FAYETTEVILLE, Georgia. NPI 1114006020 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · FAYETTEVILLE, GA

Registration Details

NPI Number
1114006020
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2006 (19.807132458974 yrs)
Last Updated
Jul 8, 2007
License
012476 (GA)

Practice Information

Address
100 CARNEGIE PL
SUITE 108
FAYETTEVILLE, GA, 302143905
Browse GA providers · Browse ZIP 30214
Phone
7704610188
Fax
7704610488
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in FAYETTEVILLE, GA

Name Credential NPI
DR. JENNIFER DARLENE KEYSER DDS 1588683171
DAVID COLE DMD 1558895078
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.