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AVALA DENTAL PROVIDERS NPI 1487953741


NPI Information

NPI: 1487953741
Provider Name: AVALA DENTAL PROVIDERS

Doing Business As: COMFORT DENTAL LOUNGE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5495 JIMMY CARTER BLVD.
SUITE A-14
NORCROSS, GA
ZIP 30093
Phone: (770) 368-9159
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AVALA DENTAL PROVIDERS is a general practice dentist in Norcross, 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. AVALA DENTAL PROVIDERS NPI is 1487953741. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Comfort Dental Lounge.

The provider's business location address is:

5495 JIMMY CARTER BLVD.
SUITE A-14
NORCROSS, GA
ZIP 30093
Phone: (770) 368-9159
Fax: (770) 368-9119

The provider's authorized official is Tiffany Nicole Jamison .
The authorized official title is Manager and has the following contact phone number (202) 714-8433.

The enumeration date for this NPI number is 3/24/2011 and was last updated on 1/22/2013.


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 PracticeDN014034GEORGIAYes

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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