VAN DERHEI IMPLANT AND PROSTHETICS NPI 1710281795

NPI Information

NPI: 1710281795
Provider Name: VAN DERHEI IMPLANT AND PROSTHETICS

Doing Business As: VIP FAMILY DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3590 BRASELTON HWY
STE 103
DACULA, GA
ZIP 30019
Phone: (678) 318-3353
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VAN DERHEI IMPLANT AND PROSTHETICS is a dental clinic center in Dacula, GA. VAN DERHEI IMPLANT AND PROSTHETICS NPI is 1710281795. The provider is registered as an organization entity type.
The provider Is Doing Business As Vip Family Dentistry.

The provider's business location address is:

3590 BRASELTON HWY
STE 103
DACULA, GA
ZIP 30019-117
Phone: (678) 318-3353
Fax: (678) 318-3350

The provider's authorized official is Patrick Van Derhei .
The authorized official title is Dentist and has the following contact phone number (678) 318-3353.

The enumeration date for this NPI number is 1/5/2011 and was last updated on 7/19/2012.

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	DN012702	GEORGIA	No
2	261QD0000X	Clinic/Center	Dental	DN011854	GEORGIA	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

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