Eastdale Dental Group Pc

LBN: East Taylor Dental Pc
Eastdale Dental Group Pc is an health care organization with primary practice located at 2201 Taylor Road , Montgomery AL 36117-3498. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. East Taylor Dental Pc can be contacted via phone (334) 271-4600, or through Horner, Killian Joseph via phone (334) 271-4600.

Contact Information

Primary practice address
2201 Taylor Road Montgomery AL 36117-3498
Phone: (334) 271-4600
Fax: (334) 271-4709
Website:
Map and Directions
Authorized official contact:
Name: Horner, Killian Joseph Doctor of Dental Surgery (DDS)
Phone: (334) 271-4600

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1720181852
LBN Legal business name East Taylor Dental Pc
DBA Doing business as Eastdale Dental Group Pc
Authorized official Horner, Killian Joseph Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
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 1720181852 NPPES
Other 816933 UNITED CONCORDIA
Other 90188 UNITED CONCORDIA

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