Classic City Orthodontics

LBN: Classic City Orthodontics
Classic City Orthodontics is an health care organization with primary practice located at 600 Oglethorpe Ave , Athens GA 30606-2263. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Classic City Orthodontics can be contacted via phone (706) 549-4748, or through Oliver, Carla Robin via phone (706) 549-4748.

Contact Information

Primary practice address
600 Oglethorpe Ave Athens GA 30606-2263
Phone: (706) 549-4748
Fax: (706) 705-1650
Website:
Map and Directions
Authorized official contact:
Name: Oliver, Carla Robin
Phone: (706) 549-4748

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 012101 Georgia

Profile Details

NPI number 1609249903
LBN Legal business name Classic City Orthodontics
DBA Doing business as
Authorized official Oliver, Carla Robin
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2015
Last updated Nov 9th, 2015 - about 11 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 1609249903 NPPES
Georgia Other 1669591947 NPI

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