Canton Pediatric Dentistry Pc

LBN: Canton Pediatric Dentistry Pc
Canton Pediatric Dentistry Pc is an health care organization with primary practice located at 3395 Sixes Rd Suite 140, Canton GA 30114. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Canton Pediatric Dentistry Pc can be contacted via phone (678) 763-2600, or through Nath, Vishant via phone (678) 763-2600.

Contact Information

Primary practice address
3395 Sixes Rd Suite 140 Canton GA 30114
Phone: (678) 763-2600
Fax: (678) 893-0459
Website:
Map and Directions
Authorized official contact:
Name: Nath, Vishant Doctor of Dental Medicine (DMD)
Phone: (678) 763-2600

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN013057 Georgia

Profile Details

NPI number 1437398666
LBN Legal business name Canton Pediatric Dentistry Pc
DBA Doing business as
Authorized official Nath, Vishant Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2009
Last updated Feb 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437398666 NPPES
Georgia MEDICAID 761564386

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