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MATTHEW FUQUA
NPI 1417685694
Dentist in Macon, GA

Active since August 15, 2022
4020 ELNORA DR, MACON, GA 31210(478) 477-1228 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Fuqua NPPES

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

MATTHEW FUQUA (NPI 1417685694) is an individual dentist in Macon, Georgia, licensed in Georgia (DN122727) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1417685694
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMATTHEW FUQUA
Location Address4020 ELNORA DRMacon, GA 31210-1823
Mailing Address4020 Elnora DrMacon, GA 31210-1823 · (478) 477-1228
Phone(478) 477-1228
Sole ProprietorNo
Enumeration DateAugust 15, 2022
NPPES CertifiedAugust 15, 2022
✔ NPI 1417685694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · DN122727
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4020 ELNORA DR, Macon, GA 31210
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Other Providers at the Same Location NPPES 2

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

NORTH MACON DENTAL ASSOCIATES
Dentist
4020 ELNORA DR
MACON, GA 31210
Bibb County (478) 477-1228
DR. STEVEN EMMETT GORDON DDS
Dentist
4020 ELNORA DR
MACON, GA 31210
Bibb County (478) 477-1228

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 Matthew Fuqua's NPI number?

The NPI number for Matthew Fuqua is 1417685694. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Where is Matthew Fuqua located?

Matthew Fuqua practices at 4020 Elnora Dr, Macon, GA 31210. The listed phone number is (478) 477-1228.

What is Matthew Fuqua's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Matthew Fuqua was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.