DR. DAN MELBOURNE PRUCHA (DDS) – Periodontics, NPI 1174509202

DR. DAN MELBOURNE PRUCHA (DDS) is a healthcare provider. based in Ft gordon, Georgia. specializing in Periodontics. They hold the professional credentials DDS. They hold a License No. 20-01-4138 (OH). The NPI Number for DR. DAN MELBOURNE PRUCHA (DDS) is 1174509202

Main info

Male
Name
DR. DAN MELBOURNE PRUCHA (DDS)
NPI
1174509202
Phone
(706) 787-6927
Address
BLDG 38717, 38TH STREET
Enumeration Date
20 December 2005
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for DR. DAN MELBOURNE PRUCHA (DDS)

  • BLDG 38717, 38TH STREET

    USA DENTAC

    FT GORDON, GA 309055660

    Phone: (706) 787-6927

    Fax: (706) 787-2082

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30905)

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Reviews

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Frequently asked questions

What federal number belongs to DR. DAN MELBOURNE PRUCHA (DDS)?
The federal identifier for DR. DAN MELBOURNE PRUCHA (DDS) is NPI 1174509202.
Is DR. DAN MELBOURNE PRUCHA (DDS) currently active in the NPI registry?
CMS-published data lists DR. DAN MELBOURNE PRUCHA (DDS) as an active registrant.
What field does DR. DAN MELBOURNE PRUCHA (DDS) work in?
You can think of DR. DAN MELBOURNE PRUCHA (DDS) as practicing within Periodontics. Clinical services aligned with this taxonomy classification.
What location shows for DR. DAN MELBOURNE PRUCHA (DDS)?
We surface Ft Gordon, Georgia for DR. DAN MELBOURNE PRUCHA (DDS) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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