BROOKHAVEN FAMILY DENTISTRY P. C. NPI 1083854236

NPI Information

NPI: 1083854236
Provider Name: BROOKHAVEN FAMILY DENTISTRY, P. C.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3528 ASHFORD DUNWOODY RD NE
ATLANTA, GA
ZIP 30319
Phone: (770) 451-0611
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BROOKHAVEN FAMILY DENTISTRY, P. C. is a dental clinic center in Atlanta, GA. BROOKHAVEN FAMILY DENTISTRY, P. C. NPI is 1083854236. The provider is registered as an organization entity type.

The provider's business location address is:

3528 ASHFORD DUNWOODY RD NE
ATLANTA, GA
ZIP 30319-002
Phone: (770) 451-0611

The provider's authorized official is Andrew Kokabi .
The authorized official title is Owner and has the following contact phone number (770) 921-9059.

The enumeration date for this NPI number is 3/1/2009 and was last updated on 3/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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