Peachtree Children'S Dentistry
LBN: Peachtree Children'S Dentistry
Peachtree Children'S Dentistry is an health care organization with primary practice located at 3820 Pleasant Hill Rd, Suite 1 , Duluth GA 30096. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Peachtree Children'S Dentistry can be contacted via phone (770) 497-0110, or through Kil, Nameun Nancy via phone (770) 497-0110.
Contact Information
Primary practice address
3820 Pleasant Hill Rd, Suite 1
Duluth GA 30096
Phone: (770) 497-0110
Fax: (770) 497-0580
Website:
Authorized official contact:
Name: Kil, Nameun Nancy Doctor of Dental Surgery (DDS)
Phone: (770) 497-0110
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DNO12595 | Georgia |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DNO12519 | Georgia |
Profile Details
| NPI number | 1770754772 |
|---|---|
| LBN Legal business name | Peachtree Children'S Dentistry |
| DBA Doing business as | |
| Authorized official | Kil, Nameun Nancy Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 18th, 2008 |
| Last updated | Jun 14th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770754772 | NPPES |
| Georgia | MEDICAID | 000949616B | |
| Georgia | MEDICAID | 000947944B |
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