<Unavail>

LBN: Kellie Smith Castro Dentistry Llc
<Unavail> is an health care organization with primary practice located at 1860 Duluth Hwy Ste 401 , Lawrenceville GA 30043-5061. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Kellie Smith Castro Dentistry Llc can be contacted via phone (678) 226-9063, or through Castro, Kellie via phone (678) 226-9063.

Contact Information

Primary practice address
1860 Duluth Hwy Ste 401 Lawrenceville GA 30043-5061
Phone: (678) 226-9063
Fax: (678) 226-9445
Website:
Map and Directions
Authorized official contact:
Name: Castro, Kellie Doctor of Dental Medicine (DMD)
Phone: (678) 226-9063

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN015357 Georgia

Profile Details

NPI number 1730691874
LBN Legal business name Kellie Smith Castro Dentistry Llc
DBA Doing business as <Unavail>
Authorized official Castro, Kellie Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2017
Last updated Oct 30th, 2017 - about 9 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 1730691874 NPPES
North Carolina Other 1619289246 N/A

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