DR. Tina Michell Champion, D.D.S.

NPI #1407019243 in Milledgeville, Georgia

Provider Information

NPI Number: 1407019243
Entity Type: Individual
Name: DR. Tina Michell Champion, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jul 2, 2008
Last Updated: May 27, 2022

Practice Location

Address: 1980M N COLUMBIA ST
City: Milledgeville
State: Georgia
ZIP Code: 31061-2020
Phone: (478) 387-7015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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