Sacred Dental

LBN: Sacred Dental
Sacred Dental is an health care organization with primary practice located at 1360 Dogwood Drive , Conyers GA 30013. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Sacred Dental can be contacted via phone (770) 474-9202, or through Nwizu, Agatha via phone (770) 474-9202.

Contact Information

Primary practice address
1360 Dogwood Drive Conyers GA 30013
Phone: (770) 474-9202
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nwizu, Agatha
Phone: (770) 474-9202

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN013176 Georgia

Profile Details

NPI number 1932461860
LBN Legal business name Sacred Dental
DBA Doing business as
Authorized official Nwizu, Agatha
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2012
Last updated Jun 15th, 2012 - about 14 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.

Request for update

Popular Providers