Childrens Dentistry At Hamilton Mill & Gainesville

LBN: Diane C Kelly Dmd, Pc
Childrens Dentistry At Hamilton Mill & Gainesville is an health care organization with primary practice located at 655 Jesse Jewell Pkwy Se , Gainesville GA 30501. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Diane C Kelly Dmd, Pc can be contacted via phone (770) 539-9110, or through Kelly, Diane C via phone (678) 714-7011.

Contact Information

Primary practice address
655 Jesse Jewell Pkwy Se Gainesville GA 30501
Phone: (770) 539-9110
Fax: (678) 714-8388
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Diane C Doctor of Dental Medicine (DMD)
Phone: (678) 714-7011

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DNO12082 Georgia

Profile Details

NPI number 1740452465
LBN Legal business name Diane C Kelly Dmd, Pc
DBA Doing business as Childrens Dentistry At Hamilton Mill & Gainesville
Authorized official Kelly, Diane C Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2008
Last updated Aug 19th, 2008 - about 18 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 1740452465 NPPES
Georgia MEDICAID 186794814A
Georgia MEDICAID 191450941A
Georgia MEDICAID 390489607J
Georgia MEDICAID 000046582Y
Georgia MEDICAID 919057925B
Georgia MEDICAID 514725717B
Georgia MEDICAID 000851727B
Georgia MEDICAID 609963109E
Georgia MEDICAID 218323780A
Georgia MEDICAID 609963109L

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