Magnolia Roots Endodontics Llc

LBN: Magnolia Roots Endodontics Llc
Magnolia Roots Endodontics Llc is an health care organization with primary practice located at 100 Blue Moon Xing Ste 103 , Pooler GA 31322-9809. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Magnolia Roots Endodontics Llc can be contacted via phone (239) 404-0691, or through Sells, Carleen Burt via phone (912) 737-4044.

Contact Information

Primary practice address
100 Blue Moon Xing Ste 103 Pooler GA 31322-9809
Phone: (239) 404-0691
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sells, Carleen Burt Doctor of Dental Medicine (DMD)
Phone: (912) 737-4044

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X

Profile Details

NPI number 1598514960
LBN Legal business name Magnolia Roots Endodontics Llc
DBA Doing business as
Authorized official Sells, Carleen Burt Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2024
Last updated Oct 27th, 2024 - about 2 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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