Ambrose Pediatric Dentistry

LBN: John And Paul Dentistry, Llc
Ambrose Pediatric Dentistry is an health care organization with primary practice located at 160 Pierce Ave , Macon GA 31204-2871. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. John And Paul Dentistry, Llc can be contacted via phone (478) 743-0901, or through Locher, Tina via phone (478) 743-0901.

Contact Information

Primary practice address
160 Pierce Ave Macon GA 31204-2871
Phone: (478) 743-0901
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Locher, Tina
Phone: (478) 743-0901

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN013328 Georgia
Dental Providers / Pediatric Dentistry 1223P0221X DN012737 Georgia
Dental Providers / Pediatric Dentistry 1223P0221X DN007573 Georgia
Dental Providers / Pediatric Dentistry 1223P0221X DN013383 Georgia

Profile Details

NPI number 1023476652
LBN Legal business name John And Paul Dentistry, Llc
DBA Doing business as Ambrose Pediatric Dentistry
Authorized official Locher, Tina
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2016
Last updated Feb 10th, 2016 - about 10 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 1023476652 NPPES
Georgia MEDICAID 134015103
Georgia MEDICAID 292364594
Georgia MEDICAID 000046395
Georgia MEDICAID 003133063

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