Dana W Mullis Dmd Pc

LBN: Dana W Mullis Dmd Pc
Dana W Mullis Dmd Pc is an health care organization with primary practice located at 1003 Plaza Ave , Eastman GA 31023. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dana W Mullis Dmd Pc can be contacted via phone (478) 374-1127, or through Mullis, Dana W via phone (478) 374-1127.

Contact Information

Primary practice address
1003 Plaza Ave Eastman GA 31023
Phone: (478) 374-1127
Fax: (478) 374-3588
Website:
Map and Directions
Authorized official contact:
Name: Mullis, Dana W
Phone: (478) 374-1127

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 011878 Georgia

Profile Details

NPI number 1417085184
LBN Legal business name Dana W Mullis Dmd Pc
DBA Doing business as
Authorized official Mullis, Dana W
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Aug 22nd, 2020 - about 6 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 1417085184 NPPES
Georgia MEDICAID 00803151B

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