Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAN MELBOURNE PRUCHA, DDS
ActiveDR. DAN MELBOURNE PRUCHA, DDS is a Periodontology healthcare provider located in FT GORDON, Georgia. NPI 1174509202 is currently active in the NPPES registry. Verify at CMS.
Periodontology · FT GORDON, GA
Registration Details
- NPI Number
- 1174509202
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2005 (20.628763339461 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
20-01-4138 (OH)30-01-4138 (OH)
Practice Information
- Address
-
BLDG 38717, 38TH STREETUSA DENTACFT GORDON, GA, 309055660Browse GA providers · Browse ZIP 30905
- Phone
- 7067876927
- Fax
- 7067872082
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in FT GORDON, GA
| Name | Credential | NPI |
|---|---|---|
| DR. FREDERICK CHARLES BISCH | DMD | 1033196159 |
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.