Ambrose, John Hutchings

Ambrose, John Hutchings is an individual health care provider with primary practice located at 4536 Chamblee Dunwoody Rd Suite 211, Atlanta GA 30338-6200. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Ambrose, John Hutchings can be contacted via phone (770) 455-1238.

Contact Information

Primary practice address
4536 Chamblee Dunwoody Rd Suite 211 Atlanta GA 30338-6200
Phone: (770) 455-1238
Fax: (770) 452-6421
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN012737 Georgia
Dental Providers / General Practice 1223G0001X 0401411248 Virginia
Dental Providers / General Practice 1223G0001X 12010811A Indiana
Dental Providers / General Practice 1223G0001X 50-052728-1 New York
Dental Providers / Pediatric Dentistry 1223P0221X DN012737 Georgia

Profile Details

NPI number 1700972395
LBN Legal business name Ambrose, John Hutchings
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Apr 8th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700972395 NPPES
Virginia MEDICAID 9170714
Virginia MEDICAID 29364594A
Virginia MEDICAID 200519740A

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