Provider Demographics
NPI:1841279320
Name:GEORGE, DAVID L JR (DDS)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:L
Last Name:GEORGE
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-7420
Mailing Address - Country:US
Mailing Address - Phone:785-823-9106
Mailing Address - Fax:785-823-2197
Practice Address - Street 1:888 WESTCHESTER DR
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-7420
Practice Address - Country:US
Practice Address - Phone:785-823-9106
Practice Address - Fax:785-823-2197
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS56361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice