Second Facility Opened

LBN: Innovative Smiles At The Forum Pc
Second Facility Opened is an health care organization with primary practice located at 5185 Peachtree Pkwy Bldg 1200 Ste 201, Norcross GA 30092. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Innovative Smiles At The Forum Pc can be contacted via phone (770) 368-1110, or through Talley, Philip K via phone (770) 368-1110.

Contact Information

Primary practice address
5185 Peachtree Pkwy Bldg 1200 Ste 201 Norcross GA 30092
Phone: (770) 368-1110
Fax: (770) 368-1114
Website:
Map and Directions
Authorized official contact:
Name: Talley, Philip K Doctor of Dental Surgery (DDS)
Phone: (770) 368-1110

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1861403552
LBN Legal business name Innovative Smiles At The Forum Pc
DBA Doing business as Second Facility Opened
Authorized official Talley, Philip K Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
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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