Allred Family Dentistry

LBN: Allred Dental Group Llc
Allred Family Dentistry is an health care organization with primary practice located at 743 S 8Th St , Griffin GA 30224-4818. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Allred Dental Group Llc can be contacted via phone (770) 228-6101, or through Carroll, Shelli Anne via phone (706) 741-8433.

Contact Information

Primary practice address
743 S 8Th St Griffin GA 30224-4818
Phone: (770) 228-6101
Fax: (770) 228-6170
Website:
Map and Directions
Authorized official contact:
Name: Carroll, Shelli Anne
Phone: (706) 741-8433

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 010469 Georgia
Managed Care Organizations / Health Maintenance Organization 302R00000X 014067 Georgia
Managed Care Organizations / Health Maintenance Organization 302R00000X 014094 Georgia
Managed Care Organizations / Health Maintenance Organization 302R00000X 014960 Georgia

Profile Details

NPI number 1396882783
LBN Legal business name Allred Dental Group Llc
DBA Doing business as Allred Family Dentistry
Authorized official Carroll, Shelli Anne
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Sep 16th, 2016 - about 8 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 1396882783 NPPES
Georgia MEDICAID 340647560A
Georgia MEDICAID 877225484A
Georgia MEDICAID 003162738C
Georgia MEDICAID 00727097A

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