Oak Grove Pediatric Dentistry, P.C.

LBN: Oak Grove Pediatric Dentistry, P.C.
Oak Grove Pediatric Dentistry, P.C. is an health care organization with primary practice located at 3744 Lavista Rd , Decatur GA 30033-1045. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. Oak Grove Pediatric Dentistry, P.C. can be contacted via phone (770) 934-3506, or through Cutler, Ben via phone (607) 743-9474.

Contact Information

Primary practice address
3744 Lavista Rd Decatur GA 30033-1045
Phone: (770) 934-3506
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cutler, Ben
Phone: (607) 743-9474

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1942083852
LBN Legal business name Oak Grove Pediatric Dentistry, P.C.
DBA Doing business as
Authorized official Cutler, Ben
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2023
Last updated Aug 15th, 2023 - about 3 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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