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

Matthew Fuqua

Individual provider Dentist · NPI 1417685694

Matthew Fuqua is a Dentist in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2022.

Licensed in
GA
In the registry since
2022

Practice location Address checks out

4020 Elnora Dr
Macon, GA 31210-1823
Phone: (478) 477-1228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN122727 (GA)

Record details

NPI number1417685694
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2022
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022
Mailing address4020 Elnora Dr, Macon, GA 31210-1823

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