Columbus Children'S Dentistry, Pc

LBN: Columbus Children'S Dentistry, Pc
Columbus Children'S Dentistry, Pc is an health care organization with primary practice located at 4405 N Stadium Dr Suite B, Columbus GA 31909-1878. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Columbus Children'S Dentistry, Pc can be contacted via phone (706) 225-0444, or through Keller, Matthew Lee via phone (706) 225-0444.

Contact Information

Primary practice address
4405 N Stadium Dr Suite B Columbus GA 31909-1878
Phone: (706) 225-0444
Fax: (706) 940-0008
Website:
Map and Directions
Authorized official contact:
Name: Keller, Matthew Lee Doctor of Dental Medicine (DMD)
Phone: (706) 225-0444

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN014428 Georgia

Profile Details

NPI number 1063828499
LBN Legal business name Columbus Children'S Dentistry, Pc
DBA Doing business as
Authorized official Keller, Matthew Lee Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2014
Last updated Jul 7th, 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 1063828499 NPPES
Georgia MEDICAID 003145601A

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