EDGEWOOD DENTAL CENTER NPI 1770834954

NPI Information

NPI: 1770834954
Provider Name: EDGEWOOD DENTAL CENTER
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
545 EDGEWOOD AVE SE
ATLANTA, GA
ZIP 30312
Phone: (404) 589-0900
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EDGEWOOD DENTAL CENTER is a dental clinic center in Atlanta, GA. EDGEWOOD DENTAL CENTER NPI is 1770834954. The provider is registered as an organization entity type.

The provider's business location address is:

545 EDGEWOOD AVE SE
ATLANTA, GA
ZIP 30312-936
Phone: (404) 589-0900
Fax: (404) 537-3107

The provider's authorized official is Nikki Rolls .
The authorized official title is Insurance Manager and has the following contact phone number (404) 758-0770.

The enumeration date for this NPI number is 9/27/2012 and was last updated on 9/27/2012.

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		GEORGIA	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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