Dr. Tina Michell Champion, D.D.S.
Dentist in Milledgeville, GA. Individual provider (NPI-1).
NPI number1407019243
StatusActive
Last updated in NPPESMay 27, 2022
Details
- NPI
- 1407019243
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tina Michell Champion
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2008
- Certification date
- May 27, 2022
- Last updated
- May 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN015080 | GA | Yes |
| 1223G0001X | Dentist, General Practice | 019025754 | IL | |
| 1223G0001X | Dentist, General Practice | DN015080 | GA |
Other names
- Tina Michell Champion-Harris (Former Name)
Practice location
1980m N Columbia StMilledgeville, GA 31061-2020
Phone 478-387-7015
Mailing address
1547 Bell Flower CtStone Mountain, GA 30088-3707
Phone 708-218-3296 · Fax 708-575-0401
Other practice locations
424 Decatur St Se
Atlanta, GA 30312-1848
Atlanta, GA 30312-1848
Phone 708-218-3296 · Fax 708-575-0401
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