Carrollton Family Dentistry

LBN: Carrollton Family Dentistry
Carrollton Family Dentistry is an health care organization with primary practice located at 101 Clinic Ave , Carrollton GA 30117-4413. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Carrollton Family Dentistry can be contacted via phone (770) 832-1376, or through Sims, Patricia via phone (770) 439-2550.

Contact Information

Primary practice address
101 Clinic Ave Carrollton GA 30117-4413
Phone: (770) 832-1376
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sims, Patricia
Phone: (770) 439-2550

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN012710 Georgia

Profile Details

NPI number 1003968496
LBN Legal business name Carrollton Family Dentistry
DBA Doing business as
Authorized official Sims, Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Oct 6th, 2011 - about 13 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 1003968496 NPPES
Georgia MEDICAID 044992718D

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