Greenlea Dental Center Pc

LBN: Greenlea Dental Center Pc
Greenlea Dental Center Pc is an health care organization with primary practice located at 6740 Shannon Pkwy Ste 2 , Union City GA 30291-2058. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Greenlea Dental Center Pc can be contacted via phone (770) 306-2996, or through Taylor, Judy via phone (770) 306-2996.

Contact Information

Primary practice address
6740 Shannon Pkwy Ste 2 Union City GA 30291-2058
Phone: (770) 306-2996
Fax: (770) 306-0004
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Judy Doctor of Dental Surgery (DDS)
Phone: (770) 306-2996

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X GA10999 Georgia

Profile Details

NPI number 1013132372
LBN Legal business name Greenlea Dental Center Pc
DBA Doing business as
Authorized official Taylor, Judy Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2007
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 1013132372 NPPES
Georgia MEDICAID 00521298A

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