JLM DENTISTRY OF STOCKBRIDGE NPI 1689960692

NPI Information

  • NPI: 1689960692
  • Provider Name: JLM DENTISTRY OF STOCKBRIDGE
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 3579 HIGHWAY 138 SE
    SUITE 202
    STOCKBRIDGE, GA
    ZIP 30281
  • Phone: (770) 474-6111

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NPI Details

JLM DENTISTRY OF STOCKBRIDGE 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. JLM DENTISTRY OF STOCKBRIDGE NPI is 1689960692. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3579 HIGHWAY 138 SE
SUITE 202
STOCKBRIDGE, GA
ZIP 30281-142
Phone: (770) 474-6111
Fax: (770) 474-5897

The provider's authorized official is Jarrett L Manning .
The authorized official title is Owner and has the following contact phone number (678) 640-5272.

The enumeration date for this NPI number is 6/28/2011 and was last updated on 6/28/2011.

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 PracticeDN013349GEORGIAYes

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: 3/30/2025

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