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

DR. WILBURN TAYLOR DOMINY JR., D.M.D

Active Sole Proprietor

DR. WILBURN TAYLOR DOMINY JR., D.M.D is a Pediatric Dentistry healthcare provider located in PEACHTREE CITY, Georgia. NPI 1225250822 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · PEACHTREE CITY, GA

Registration Details

NPI Number
1225250822
Provider Type
Individual
Gender
Male
NPI Issued
May 3, 2007 (19.292463482284 yrs)
Last Updated
Jul 8, 2007
License
010888 (GA)
Sole Proprietor
Yes

Practice Information

Address
5000 SHAKERAG HL
PEACHTREE CITY, GA, 302693367
Browse GA providers · Browse ZIP 30269
Phone
7706310044
Fax
7706319434
Primary Specialty
Pediatric Dentistry
1223P0700X
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.