Towne Lake Dental Group, Llc

LBN: Towne Lake Dental Group, Llc
Towne Lake Dental Group, Llc is an health care organization with primary practice located at 125 Southern Junction Blvd Suite 701, Pooler GA 31322-2214. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Towne Lake Dental Group, Llc can be contacted via phone (912) 330-4545, or through Beaudreau, Brian via phone (912) 330-4545.

Contact Information

Primary practice address
125 Southern Junction Blvd Suite 701 Pooler GA 31322-2214
Phone: (912) 330-4545
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Beaudreau, Brian Doctor of Dental Medicine (DMD)
Phone: (912) 330-4545

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 09617 Georgia

Profile Details

NPI number 1053696781
LBN Legal business name Towne Lake Dental Group, Llc
DBA Doing business as
Authorized official Beaudreau, Brian Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2011
Last updated Oct 13th, 2011 - about 15 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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