Fabulous Dentistry And Orthodontic Pc

LBN: Fabulous Dentistry And Orthodontic Pc
Fabulous Dentistry And Orthodontic Pc is an health care organization with primary practice located at 950 Indian Trl Rd Nw Suite 3-G, Lilburn GA 30047-1721. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery. Dental Providers / Orthodontics and Dentofacial Orthopedics is the primary health care specialty. Fabulous Dentistry And Orthodontic Pc can be contacted via phone (678) 325-3970, or through Solano, Juan J via phone (678) 325-3970.

Contact Information

Primary practice address
950 Indian Trl Rd Nw Suite 3-G Lilburn GA 30047-1721
Phone: (678) 325-3970
Fax: (678) 325-3971
Website:
Map and Directions
Authorized official contact:
Name: Solano, Juan J Doctor of Dental Surgery (DDS)
Phone: (678) 325-3970

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X

Profile Details

NPI number 1508038076
LBN Legal business name Fabulous Dentistry And Orthodontic Pc
DBA Doing business as
Authorized official Solano, Juan J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2008
Last updated Feb 12th, 2024 - about last year

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 1508038076 NPPES
Georgia MEDICAID 502321377B

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