Dr. Dan Melbourne Prucha, DDS
Dr. Dan Melbourne Prucha is a Periodontics provider (Dentist) practicing in Ft Gordon, GA, registered in the NPPES registry with NPI 1174509202 since 2005. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174509202 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Dan Melbourne Prucha |
| Credential | DDS |
| Sex | Male |
| Practice address | BLDG 38717, 38TH STREET, USA DENTAC, Ft Gordon, GA, 30905 |
| Phone | 7067876927 |
| Fax | 7067872082 |
| Enumeration date | 2005-12-20 |
| Last updated in NPPES | 2025-09-11 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Secondary | 20-01-4138 | OH |
| 1223P0300X | Periodontics | Primary | 30-01-4138 | OH |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Dan Prucha, DDS NPI: 1174509202 Taxonomy: 1223P0300X (Periodontics) Address: BLDG 38717, 38TH STREET, USA DENTAC, Ft Gordon, GA, 30905
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366424624 | Larry Hanson | Individual | Oral and Maxillofacial Surgery (Dentist) | Fort Gordon, GA |
| 1235112111 | Agnieszka Kucharska-Frania | Individual | Dentist | Ft Gordon, GA |
| 1639153711 | Lemuel Covington | Individual | General Practice Dentistry | Ft Gordon, GA |
| 1184601973 | Terrence Murphy | Individual | General Practice Dentistry | Ft Gordon, GA |
| 1417934464 | William Gilbert | Individual | Dentist | Ft Gordon, GA |
| 1033196159 | Frederick Bisch | Individual | Periodontics | Ft Gordon, GA |
| 1619955895 | David Carr | Individual | Endodontics | Ft Gordon, GA |
| 1043298359 | Alan Bronstein | Individual | Dentist | Ft Gordon, GA |
Verify this record
Cross-check NPI 1174509202 against the authoritative CMS record: view Dr. Dan Melbourne Prucha on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.