Athens Area Pediatric Dentistry, P.C.

LBN: Athens Area Pediatric Dentistry, P.C.
Athens Area Pediatric Dentistry, P.C. is an health care organization with primary practice located at 1091 Park Dr Ste A, Watkinsville GA 30677-2014. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Athens Area Pediatric Dentistry, P.C. can be contacted via phone (706) 769-1994, or through Bradley, Emily J. via phone (706) 769-1994.

Contact Information

Primary practice address
1091 Park Dr Ste A Watkinsville GA 30677-2014
Phone: (706) 769-1994
Fax: (706) 769-1997
Website:
Map and Directions
Authorized official contact:
Name: Bradley, Emily J. Doctor of Dental Medicine (DMD)
Phone: (706) 769-1994

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 010004 Georgia

Profile Details

NPI number 1598811739
LBN Legal business name Athens Area Pediatric Dentistry, P.C.
DBA Doing business as
Authorized official Bradley, Emily J. Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2007
Last updated Jan 21st, 2014 - about 10 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 1598811739 NPPES
Georgia MEDICAID 000300671J

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