Center For Pediatric Dentistry, Pc

LBN: Center For Pediatric Dentistry, Llc
Center For Pediatric Dentistry, Pc is an health care organization with primary practice located at 1243 Augusta West Pkwy , Augusta GA 30909-1807. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Center For Pediatric Dentistry, Llc can be contacted via phone (706) 855-8989, or through Shirley, Mary via phone (706) 855-8989.

Contact Information

Primary practice address
1243 Augusta West Pkwy Augusta GA 30909-1807
Phone: (706) 855-8989
Fax: (706) 855-0321
Website:
Map and Directions
Authorized official contact:
Name: Shirley, Mary
Phone: (706) 855-8989

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 11680 Georgia

Profile Details

NPI number 1164490918
LBN Legal business name Center For Pediatric Dentistry, Llc
DBA Doing business as Center For Pediatric Dentistry, Pc
Authorized official Shirley, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2006
Last updated Jan 18th, 2021 - 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 1164490918 NPPES
Georgia MEDICAID 945328611A

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