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DENTISTRY OF SUWANEE NPI 1467162057


NPI Information

NPI: 1467162057
Provider Name: DENTISTRY OF SUWANEE
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1291 OLD PEACHTREE RD NW STE 222
SUWANEE, GA
ZIP 30024
Phone: (678) 381-2875
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DENTISTRY OF SUWANEE is a dental clinic center in Suwanee, GA. DENTISTRY OF SUWANEE NPI is 1467162057. The provider is registered as an organization entity type.

The provider's business location address is:

1291 OLD PEACHTREE RD NW STE 222
SUWANEE, GA
ZIP 30024-032
Phone: (678) 381-2875

The provider's authorized official is Dongwuk Cha .
The authorized official title is Dentist/owner and has the following contact phone number (716) 812-7782.

The enumeration date for this NPI number is 12/5/2022 and was last updated on 12/5/2022.


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
1261QD0000XClinic/CenterDentalYes

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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