Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dan Melbourne Prucha, DDS

Individual provider Dentist · NPI 1174509202

Dr. Dan Melbourne Prucha, DDS is a Dentist in Ft Gordon, Georgia. Licensed in Ohio. Registered with an NPI since 2005.

Licensed in
OH
In the registry since
2005
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

Bldg 38717 38th Street USA Dentac
Ft Gordon, GA 30905-5660
Phone: (706) 787-6927
Fax: (706) 787-2082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 30-01-4138 (OH)
Dentist Taxonomy 122300000X · Licence 20-01-4138 (OH)

Record details

NPI number1174509202
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 20, 2005
Last updated in NPPESSeptember 11, 2025

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