Bentwater Cosmetic And Family Dentistry
LBN: Bentwater Cosmetic And Family Dentistry
Bentwater Cosmetic And Family Dentistry is an health care organization with primary practice located at 351 Thornton Rd Ste 101 , Lithia Springs GA 30122-1589. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Bentwater Cosmetic And Family Dentistry can be contacted via phone (770) 944-9755, or through Threlkeld, Tiffany via phone (678) 499-3514.
Contact Information
Primary practice address
351 Thornton Rd Ste 101
Lithia Springs GA 30122-1589
Phone: (770) 944-9755
Fax: (770) 944-1261
Website:
Authorized official contact:
Name: Threlkeld, Tiffany Doctor of Osteopathy (DO)
Phone: (678) 499-3514
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X |
Profile Details
| NPI number | 1154069391 |
|---|---|
| LBN Legal business name | Bentwater Cosmetic And Family Dentistry |
| DBA Doing business as | |
| Authorized official | Threlkeld, Tiffany Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2022 |
| Last updated | Jul 27th, 2022 - about 2 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 | 1154069391 | NPPES |
| Georgia | Other | DN011428 | DENTAL LICENSE NUMBER |
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