Addis, Julie K.

Addis, Julie K. is an individual health care provider with primary practice located at 804 Palm Dr , Dublin GA 31021-5634. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Addis, Julie K. can be contacted via phone (478) 272-1983.

Contact Information

Primary practice address
804 Palm Dr Dublin GA 31021-5634
Phone: (478) 272-1983
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X DN013044 Georgia
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN013044 Georgia

Profile Details

NPI number 1427042480
LBN Legal business name Addis, Julie K.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Dec 13th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427042480 NPPES
Georgia MEDICAID 464844449A

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