Gordon Family Dentistry

LBN: Anita S. Gordon
Gordon Family Dentistry is an health care organization with primary practice located at 2814 Buford Hwy Ne , Atlanta GA 30329-2103. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Anita S. Gordon can be contacted via phone (404) 486-7661, or through Bryant, Felecia via phone (404) 486-7661.

Contact Information

Primary practice address
2814 Buford Hwy Ne Atlanta GA 30329-2103
Phone: (404) 486-7661
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bryant, Felecia
Phone: (404) 486-7661

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X DN009248 Georgia

Profile Details

NPI number 1144660283
LBN Legal business name Anita S. Gordon
DBA Doing business as Gordon Family Dentistry
Authorized official Bryant, Felecia
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2013
Last updated Jul 3rd, 2013 - about 12 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 1144660283 NPPES
Georgia MEDICAID 000225299A

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