Tara Blvd Family Dentistry

LBN: A.Y. Dental Health, Inc
Tara Blvd Family Dentistry is an health care organization with primary practice located at 772 North Ave , Jonesboro GA 30236-2226. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. A.Y. Dental Health, Inc can be contacted via phone (770) 892-5328, or through Yavari, Behnam via phone (770) 892-5328.

Contact Information

Primary practice address
772 North Ave Jonesboro GA 30236-2226
Phone: (770) 892-5328
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Yavari, Behnam
Phone: (770) 892-5328

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN014345 Georgia

Profile Details

NPI number 1306275474
LBN Legal business name A.Y. Dental Health, Inc
DBA Doing business as Tara Blvd Family Dentistry
Authorized official Yavari, Behnam
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2013
Last updated Nov 8th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306275474 NPPES
Georgia MEDICAID 003136315A
Georgia Other 1235416256

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