CARROLLTON FAMILY DENTISTRY NPI 1003968496

NPI Information

NPI: 1003968496
Provider Name: CARROLLTON FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
101 CLINIC AVE
CARROLLTON, GA
ZIP 30117
Phone: (770) 832-1376
Get Directions

CARROLLTON FAMILY DENTISTRY is a general practice dentist in Carrollton, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CARROLLTON FAMILY DENTISTRY NPI is 1003968496. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 CLINIC AVE
CARROLLTON, GA
ZIP 30117-413
Phone: (770) 832-1376

The provider's authorized official is Patricia Sims .
The authorized official title is Office Manager and has the following contact phone number (770) 439-2550.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 10/6/2011.

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	1223G0001X	Dentist	General Practice	DN012710	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	044992718D	MEDICAID	GEORGIA

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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