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DR. DAN MELBOURNE PRUCHA DDS
NPI 1174509202
Dentist - Periodontics in Ft Gordon, GA

Active since December 20, 2005
BLDG 38717, 38TH STREET, USA DENTAC, FT GORDON, GA 30905(706) 787-6927(706) 787-2082 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dan Melbourne Prucha Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAN MELBOURNE PRUCHA DDS (NPI 1174509202) is an individual periodontics provider in Ft Gordon, Georgia, licensed in Ohio (30-01-4138) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1174509202
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DAN MELBOURNE PRUCHACredential: DDS
Location AddressBLDG 38717, 38TH STREET, USA DENTACFt Gordon, GA 30905-5660
Mailing AddressBldg 38717, 38th Street, Usa DentacFt Gordon, GA 30905-5660 · (706) 787-6927 · Fax (706) 787-2082
Phone(706) 787-6927
Fax(706) 787-2082
Sole ProprietorNo
Enumeration DateDecember 20, 2005
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1174509202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in OH · 30-01-4138
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentistTaxonomy 122300000X · License 20-01-4138 (OH)
BLDG 38717, 38TH STREET, Ft Gordon, GA 30905
Open in Google Maps ↗

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FREDERICK CHARLES BISCH DMD
Dentist (Periodontics)
BLDG 38717, 38TH STREET, USA DENTAC
FT GORDON, GA 30905
Richmond County (706) 787-6927
DR. ALAN BURTON BRONSTEIN DDS
Dentist
BLDG 38717, 38TH STREET, USA DENTAC
FT GORDON, GA 30905
Richmond County (706) 787-6927
DR. TERRENCE SCOTT MURPHY DDS
Dentist (General Practice)
BLDG 38717, 38TH STREET, USA DENTAC
FT GORDON, GA 30905
Richmond County (706) 787-6927
DR. WILLIAM ANDREW GILBERT DMD
Dentist
BLDG 38717, 38TH STREET, USA DENTAC
FT GORDON, GA 30905
Richmond County (706) 787-6927
DR. DAVID LESLIE CARR DDS
Dentist (Endodontics)
BLDG 38717, 38TH STREET, USA DENTAC
FT GORDON, GA 30905
Richmond County (706) 787-6927
DR. RONALD WINFIELD BICE DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
BLDG 38717, 38TH STREET, USA DENTAC
FT GORDON, GA 30905
Richmond County (706) 787-6927
DR. ERICH PHELPS HEITMAN DMD
Dentist
BLDG 38717, 38TH STREET, USA DENTAC
FT GORDON, GA 30905
Richmond County (706) 787-6927
DR. PHILIP ANTHONY HAMMOND DMD
Dentist
BLDG 38717, 38TH STREET, USA DENTAC
FT GORDON, GA 30905
Richmond County (706) 787-6927

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dan Prucha's NPI number?

The NPI number for Dan Prucha is 1174509202. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Dan Prucha located?

Dan Prucha practices at Bldg 38717, 38th Street Usa Dentac, Ft Gordon, GA 30905. The listed phone number is (706) 787-6927.

What is Dan Prucha's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Dan Prucha was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.