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: July 19, 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
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

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.

Dentist
4020 ELNORA DR
MACON, GA 31210
Dentist
4020 ELNORA DR
MACON, GA 31210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417685694, enumerated as an "individual" on August 15, 2022.

The provider is located at 4020 ELNORA DR MACON, GA 31210 and the phone number is (478) 477-1228.

Dentist with taxonomy code 122300000X.