GA SPECIALTY DENTAL SERVICES PC NPI 1366208431

NPI Information

NPI: 1366208431
Provider Name: GA SPECIALTY DENTAL SERVICES, PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
4355 JOHNS CREEK PKWY STE 530
SUWANEE, GA
ZIP 30024
Phone: (770) 495-9193
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GA SPECIALTY DENTAL SERVICES, PC is an oral and maxillofacial surgery dentist in Suwanee, GA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. GA SPECIALTY DENTAL SERVICES, PC NPI is 1366208431. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4355 JOHNS CREEK PKWY STE 530
SUWANEE, GA
ZIP 30024-100
Phone: (770) 495-9193

The provider's authorized official is Charlotte Dasch .
The authorized official title is Director Of Credentialing &pr and has the following contact phone number (504) 638-0303.

The enumeration date for this NPI number is 2/26/2024 and was last updated on 2/26/2024.

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	1223S0112X	Dentist	Oral and Maxillofacial Surgery			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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