Cedar Dental Clinical I, Llc

LBN: Cedar Dental Clinical I, Llc
Cedar Dental Clinical I, Llc is an health care organization with primary practice located at 119 Willow Ln , Mcdonough GA 30253-6574. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Cedar Dental Clinical I, Llc can be contacted via phone (678) 432-8505, or through Dallam, Henry Rankin via phone (770) 331-2529.

Contact Information

Primary practice address
119 Willow Ln Mcdonough GA 30253-6574
Phone: (678) 432-8505
Fax: (678) 432-9419
Website:
Map and Directions
Authorized official contact:
Name: Dallam, Henry Rankin Doctor of Dental Medicine (DMD)
Phone: (770) 331-2529

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1003423039
LBN Legal business name Cedar Dental Clinical I, Llc
DBA Doing business as
Authorized official Dallam, Henry Rankin Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2020
Last updated Sep 24th, 2020 - about 4 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 1003423039 NPPES
Georgia Other DN013071 GA DENTAL LICENSE

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