Faggioni, Martino Sylvester
Faggioni, Martino Sylvester is an sole proprietor health care provider with primary practice located at 1462 Montreal Rd Suite 211, Tucker GA 30084-6929. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Faggioni, Martino Sylvester can be contacted via phone (770) 038-1848.Contact Information
Primary practice address
1462 Montreal Rd Suite 211
Tucker GA 30084-6929
Phone: (770) 038-1848
Fax: (770) 938-1856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7303 | Georgia |
Profile Details
| NPI number | 1639183916 |
|---|---|
| LBN Legal business name | Faggioni, Martino Sylvester |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639183916 | NPPES |
| Georgia | Other | 100190 | AVESIS PROVIDER NUMBER |
| Georgia | Other | 9180034 | AVESIS PROVIDER NUMBER |
| Georgia | MEDICAID | 000202243B | AVESIS PROVIDER NUMBER |
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