Canton Dental, Llc

LBN: Canton Dental, Llc
Canton Dental, Llc is an health care organization with primary practice located at 230 Riverstone Pkwy Ste A , Canton GA 30114-6414. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Canton Dental, Llc can be contacted via phone (770) 479-5425, or through Gordon, Logan V via phone (770) 479-5425.

Contact Information

Primary practice address
230 Riverstone Pkwy Ste A Canton GA 30114-6414
Phone: (770) 479-5425
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Logan V
Phone: (770) 479-5425

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X GA012160 Georgia

Profile Details

NPI number 1841524295
LBN Legal business name Canton Dental, Llc
DBA Doing business as
Authorized official Gordon, Logan V
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2009
Last updated Oct 1st, 2009 - about 16 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.

Request for update

Popular Providers