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Contact Information

ROMAN M CIBIRKA, DDS
541 BROOKWOOD DR W
DAWSONVILLE, GA30534-7563
 Phone: 706-564-8174
 Fax: 706-721-6778
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for ROMAN M CIBIRKA · (Male)

NPI # 1255385696
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/20/2006
Last updated 01/13/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # DN011807
  • GA Medicaid 000812534A
  • SC Medicaid ZG1807
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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