Bibbs, Lona Demetria
Bibbs, Lona Demetria is an sole proprietor health care provider with primary practice located at 1741 Newnan Crossing Blvd E Suite I, Newnan GA 30265-1599. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Bibbs, Lona Demetria can be contacted via phone (770) 253-4488.Contact Information
Primary practice address
1741 Newnan Crossing Blvd E Suite I
Newnan GA 30265-1599
Phone: (770) 253-4488
Fax: (770) 253-4498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN013160 | Georgia |
Profile Details
| NPI number | 1770506099 |
|---|---|
| LBN Legal business name | Bibbs, Lona Demetria |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | May 20th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770506099 | NPPES |
| Georgia | MEDICAID | 730602079A | |
| Georgia | MEDICAID | 730602079E | |
| Georgia | MEDICAID | 730602079B |
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