Azalea City Family Dentistry
LBN: Azalea City Family Dentistry
Azalea City Family Dentistry is an health care organization with primary practice located at 414 Pendleton Pl , Valdosta GA 31602-2603. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Azalea City Family Dentistry can be contacted via phone (229) 244-3700, or through Broadfoot, William W via phone (229) 244-3700.
Contact Information
Primary practice address
414 Pendleton Pl
Valdosta GA 31602-2603
Phone: (229) 244-3700
Fax: (229) 247-0373
Website:
Authorized official contact:
Name: Broadfoot, William W Doctor of Dental Surgery (DDS)
Phone: (229) 244-3700
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN007995 | Georgia |
Profile Details
| NPI number | 1295978047 |
|---|---|
| LBN Legal business name | Azalea City Family Dentistry |
| DBA Doing business as | |
| Authorized official | Broadfoot, William W Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 9th, 2009 |
| Last updated | Apr 9th, 2009 - about 17 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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