Atlanta Dental Team Stone Mountain Pc

LBN: Atlanta Dental Team Stone Mountain Pc
Atlanta Dental Team Stone Mountain Pc is an health care organization with primary practice located at 1000 Main St Suite F, Stone Mountain GA 30083-2978. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Atlanta Dental Team Stone Mountain Pc can be contacted via phone (770) 469-1331, or through Owens, Darren A via phone (770) 469-1331.

Contact Information

Primary practice address
1000 Main St Suite F Stone Mountain GA 30083-2978
Phone: (770) 469-1331
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Owens, Darren A Doctor of Dental Surgery (DDS)
Phone: (770) 469-1331

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN09316 Georgia
Dental Providers / Dentist 122300000X 12130GA Georgia

Profile Details

NPI number 1528331923
LBN Legal business name Atlanta Dental Team Stone Mountain Pc
DBA Doing business as
Authorized official Owens, Darren A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2012
Last updated Aug 1st, 2012 - about 14 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 1528331923 NPPES
Georgia MEDICAID 000386625A

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