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STOCKBRIDGE FAMILY DENTAL GROUP PC NPI 1366840159


NPI Information

NPI: 1366840159
Provider Name: STOCKBRIDGE FAMILY DENTAL GROUP PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3579 HIGHWAY 138 SE STE 202
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 474-6111
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STOCKBRIDGE FAMILY DENTAL GROUP PC is a general practice dentist in Stockbridge, 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. STOCKBRIDGE FAMILY DENTAL GROUP PC NPI is 1366840159. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3579 HIGHWAY 138 SE STE 202
STOCKBRIDGE, GA
ZIP 30281-807
Phone: (770) 474-6111
Fax: (678) 762-0176

The provider's authorized official is Ashish Pravin Vakharia .
The authorized official title is Dentist/owner and has the following contact phone number (412) 716-7907.

The enumeration date for this NPI number is 12/11/2014 and was last updated on 12/11/2014.


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 PracticeDN013218GEORGIAYes

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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