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ADDEVALE FAMILY DENTISTRY P.C. NPI 1073057956


NPI Information

NPI: 1073057956
Provider Name: ADDEVALE FAMILY DENTISTRY, P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
210 ADDAVALE ST
GRIFFIN, GA
ZIP 30224
Phone: (770) 229-1490
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ADDEVALE FAMILY DENTISTRY, P.C. is a general practice dentist in Griffin, 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. ADDEVALE FAMILY DENTISTRY, P.C. NPI is 1073057956. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

210 ADDAVALE ST
GRIFFIN, GA
ZIP 30224-217
Phone: (770) 229-1490

The provider's authorized official is Emory Schroeter .
The authorized official title is President and has the following contact phone number (770) 229-1490.

The enumeration date for this NPI number is 12/12/2016 and was last updated on 12/12/2016.


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
1122300000XDentistNo
21223E0200XDentistEndodonticsNo
31223G0001XDentistGeneral PracticeYes
41223P0221XDentistPediatric DentistryNo

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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