GEORGIA DENTAL ASSOCIATES LLC NPI 1700424892

NPI Information

NPI: 1700424892
Provider Name: GEORGIA DENTAL ASSOCIATES, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
501 GRIFFIN AVE
EASTMAN, GA
ZIP 31023
Phone: (229) 313-5083
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GEORGIA DENTAL ASSOCIATES, LLC is a dental clinic center in Eastman, GA. GEORGIA DENTAL ASSOCIATES, LLC NPI is 1700424892. The provider is registered as an organization entity type.

The provider's business location address is:

501 GRIFFIN AVE
EASTMAN, GA
ZIP 31023-712
Phone: (229) 313-5083

The provider's authorized official is Vicki Davis .
The authorized official title is Practice Admin and has the following contact phone number (229) 313-5083.

The enumeration date for this NPI number is 12/19/2019 and was last updated on 1/3/2020.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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