GLEE DENTAL NPI 1063137925

NPI Information

NPI: 1063137925
Provider Name: GLEE DENTAL
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3485 ACWORTH DUE WEST RD NW STE 160
ACWORTH, GA
ZIP 30101
Phone: (678) 961-3370
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GLEE DENTAL is a dental clinic center in Acworth, GA. GLEE DENTAL NPI is 1063137925. The provider is registered as an organization entity type.

The provider's business location address is:

3485 ACWORTH DUE WEST RD NW STE 160
ACWORTH, GA
ZIP 30101-870
Phone: (678) 961-3370

The provider's authorized official is Olubunmi Osunfisan .
The authorized official title is Ceo and has the following contact phone number (678) 961-3370.

The enumeration date for this NPI number is 10/4/2022 and was last updated on 10/4/2022.

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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