Walter A Grage Dds Pc

LBN: Walter A Grage Dds Pc
Walter A Grage Dds Pc is an health care organization with primary practice located at 4324 Covington Hwy , Decatur GA 30035. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Walter A Grage Dds Pc can be contacted via phone (404) 289-6454, or through Grage, Walter A via phone (404) 289-6454.

Contact Information

Primary practice address
4324 Covington Hwy Decatur GA 30035
Phone: (404) 289-6454
Fax: (404) 289-2570
Website:
Map and Directions
Authorized official contact:
Name: Grage, Walter A Doctor of Dental Surgery (DDS)
Phone: (404) 289-6454

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6216 Georgia

Profile Details

NPI number 1538255971
LBN Legal business name Walter A Grage Dds Pc
DBA Doing business as
Authorized official Grage, Walter A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1538255971 NPPES
Georgia MEDICAID 00046175B

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