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Dr. Kenneth Ray Collins JR., DDS
Oral and Maxillofacial Surgery (Dentist) in Fayetteville, Georgia
NPI 1114006020

Kenneth Ray Collins JR. is a Oral and Maxillofacial Surgery (Dentist) based in Fayetteville, GA and is specialized in Oral and Maxillofacial Surgery. Kenneth Ray Collins JR. practices in Fayetteville, GA and has the professional credentials of DDS. The NPI Number for Kenneth Ray Collins JR. is 1114006020 and holds a License No. 012476 (Georgia).

The current practice location address for Kenneth Ray Collins JR. is 100 Carnegie Pl, Fayetteville, GA and can be reached out via phone at 770-461-0188 and via fax at 770-461-0488.

Location: 100 Carnegie Pl, Fayetteville, GA, 30214-3905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114006020
Provider Name
Kenneth Ray Collins JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
100 Carnegie Pl, Fayetteville, GA, 30214-3905
Phone Number
770-461-0188
Fax Number
770-461-0488
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 Carnegie Pl
City
Fayetteville
State
Georgia
Zip
30214-3905
Phone Number
770-461-0188
Fax Number
770-461-0488
person
Provider Business Mailing Address Details
Address
100 Carnegie Pl
City
Fayetteville
State
Georgia
Zip
30214-3905
Phone Number
770-461-0188
Fax Number
770-461-0488
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
012476 (Georgia)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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