Georgia Dental Professionals, Pc

LBN: Georgia Dental Professionals, Pc
Georgia Dental Professionals, Pc is an health care organization with primary practice located at 755 Commerce Dr Suite 513, Decatur GA 30030-2627. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Georgia Dental Professionals, Pc can be contacted via phone (404) 377-7711, or through Petersen, Cassandra via phone (217) 540-8972.

Contact Information

Primary practice address
755 Commerce Dr Suite 513 Decatur GA 30030-2627
Phone: (404) 377-7711
Fax: (404) 377-6040
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Cassandra
Phone: (217) 540-8972

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7624 Georgia

Profile Details

NPI number 1992861637
LBN Legal business name Georgia Dental Professionals, Pc
DBA Doing business as
Authorized official Petersen, Cassandra
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 29th, 2018 - about 8 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 1992861637 NPPES
Georgia Other 1922164672 DR. THOMAS J. PRICE

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