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NORTHEAST GEORGIA DENTAL GROUP NPI 1013121359


NPI Information

NPI: 1013121359
Provider Name: NORTHEAST GEORGIA DENTAL GROUP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1200 SHERWOOD PARK DR NE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 532-4555
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NORTHEAST GEORGIA DENTAL GROUP is a general practice dentist in Gainesville, 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. NORTHEAST GEORGIA DENTAL GROUP NPI is 1013121359. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 SHERWOOD PARK DR NE
GAINESVILLE, GA
ZIP 30501-445
Phone: (770) 532-4555

The provider's authorized official is Richard G. Bennett .
The authorized official title is Owner and has the following contact phone number (770) 532-4555.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 10/19/2011.


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
11223G0001XDentistGeneral PracticeDN011850GEORGIAYes

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

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