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PALMETTO FAMILY DENTAL OF MCDONOUGH PC NPI 1376277335


NPI Information

NPI: 1376277335
Provider Name: PALMETTO FAMILY DENTAL OF MCDONOUGH, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
70 WESTRIDGE PKWY STE 100
MCDONOUGH, GA
ZIP 30253
Phone: (770) 898-3192
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PALMETTO FAMILY DENTAL OF MCDONOUGH, PC is a general practice dentist in Mcdonough, 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. PALMETTO FAMILY DENTAL OF MCDONOUGH, PC NPI is 1376277335. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

70 WESTRIDGE PKWY STE 100
MCDONOUGH, GA
ZIP 30253-048
Phone: (770) 898-3192

The provider's authorized official is Jordan A Brunson .
The authorized official title is Owner and has the following contact phone number (770) 898-3192.

The enumeration date for this NPI number is 7/14/2022 and was last updated on 7/14/2022.


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
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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