Spectrum Dental Care

LBN: Spectrum Dental Care
Spectrum Dental Care is an health care organization with primary practice located at 6270 Smithpointe Dr , Norcross GA 30092-2754. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Spectrum Dental Care can be contacted via phone (770) 263-8408, or through N, Ifeanyi Ezunu via phone (770) 263-8408.

Contact Information

Primary practice address
6270 Smithpointe Dr Norcross GA 30092-2754
Phone: (770) 263-8408
Fax: (770) 263-8744
Website:
Map and Directions
Authorized official contact:
Name: N, Ifeanyi Ezunu Doctor of Dental Surgery (DDS)
Phone: (770) 263-8408

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 012240 Georgia

Profile Details

NPI number 1679942049
LBN Legal business name Spectrum Dental Care
DBA Doing business as
Authorized official N, Ifeanyi Ezunu Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2015
Last updated Sep 16th, 2015 - about 11 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 1679942049 NPPES
Georgia MEDICAID 000972694A

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