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ADFC-WATKINSVILLE PC NPI 1366128936


NPI Information

NPI: 1366128936
Provider Name: ADFC-WATKINSVILLE PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1355 RESURGENCE DR
WATKINSVILLE, GA
ZIP 30677
Phone: (706) 355-3109
Get Directions

ADFC-WATKINSVILLE PC is a general practice dentist in Watkinsville, 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. ADFC-WATKINSVILLE PC NPI is 1366128936. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1355 RESURGENCE DR
WATKINSVILLE, GA
ZIP 30677-306
Phone: (706) 355-3109

The provider's authorized official is Jenny Garcia-rocha .
The authorized official title is Credentialing Lead and has the following contact phone number (972) 869-3789.

The enumeration date for this NPI number is 6/27/2023 and was last updated on 6/27/2023.


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 PracticeYes

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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