Childrens Dental Village, Llc

LBN: Childrens Dental Village, Llc
Childrens Dental Village, Llc is an health care organization with primary practice located at 9420 Willeo Rd Suite 104, Roswell GA 30075-6772. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Childrens Dental Village, Llc can be contacted via phone (678) 352-8108, or through Madhiwala, Priya via phone (678) 352-8108.

Contact Information

Primary practice address
9420 Willeo Rd Suite 104 Roswell GA 30075-6772
Phone: (678) 352-8108
Fax: (678) 352-8107
Website:
Map and Directions
Authorized official contact:
Name: Madhiwala, Priya Doctor of Dental Medicine (DMD)
Phone: (678) 352-8108

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN014199 Georgia

Profile Details

NPI number 1356749964
LBN Legal business name Childrens Dental Village, Llc
DBA Doing business as
Authorized official Madhiwala, Priya Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2014
Last updated Dec 22nd, 2014 - about 11 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 1356749964 NPPES
Georgia Other 1861641698 INDIVIDUAL NPI
Georgia MEDICAID 003106680 INDIVIDUAL NPI

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