Fathima Ambrin, No Name Given
Fathima Ambrin, No Name Given is an individual health care provider with primary practice located at 2995 Atlanta Rd Se Ste 200, Smyrna GA 30080-3654. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Fathima Ambrin, No Name Given can be contacted via phone (678) 203-3463.Contact Information
Primary practice address
2995 Atlanta Rd Se Ste 200
Smyrna GA 30080-3654
Phone: (678) 203-3463
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN015341 | Georgia |
Profile Details
| NPI number | 1447791231 |
|---|---|
| LBN Legal business name | Fathima Ambrin, No Name Given |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2017 |
| Last updated | Mar 14th, 2017 - about 9 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 | 1447791231 | NPPES |
| Georgia | Other | DN015341 | NON-MEDICARE |
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