Polish Dental Center,Llc
LBN: Avala Dental Providers,Llc
Polish Dental Center,Llc is an health care organization with primary practice located at 629 A Beaver Ruin Rd , Lilburn GA 30047. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty.
Avala Dental Providers,Llc can be contacted via phone (770) 696-4144, or through Jamison, Tiffany N via phone (770) 696-4144.
Contact Information
Primary practice address
629 A Beaver Ruin Rd
Lilburn GA 30047
Phone: (770) 696-4144
Fax: (470) 545-2859
Website:
Authorized official contact:
Name: Jamison, Tiffany N Doctor of Dental Medicine (DMD)
Phone: (770) 696-4144
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Managed Care Organizations / Point of Service | 305S00000X | DN014034 | Georgia |
Profile Details
NPI number | 1851729883 |
---|---|
LBN Legal business name | Avala Dental Providers,Llc |
DBA Doing business as | Polish Dental Center,Llc |
Authorized official | Jamison, Tiffany N Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 30th, 2013 |
Last updated | Oct 30th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851729883 | NPPES |
Georgia | MEDICAID | 1487953741 |
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