Conyers Dentures & Implant Center
LBN: Conyers Dentures & Implant Center
Conyers Dentures & Implant Center is an health care organization with primary practice located at 1916 Iris Drive, Sw , Conyers GA 30094. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Periodontics is the primary health care specialty.
Conyers Dentures & Implant Center can be contacted via phone (770) 483-4469, or through Fraser, Gordon Cleland via phone (770) 483-4469.
Contact Information
Primary practice address
1916 Iris Drive, Sw
Conyers GA 30094
Phone: (770) 483-4469
Fax: (770) 922-0401
Website:
Authorized official contact:
Name: Fraser, Gordon Cleland Doctor of Dental Medicine (DMD)
Phone: (770) 483-4469
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | DN012684 | Georgia |
Dental Providers / Periodontics | 1223P0300X | DN012684 | Georgia |
Profile Details
NPI number | 1487842951 |
---|---|
LBN Legal business name | Conyers Dentures & Implant Center |
DBA Doing business as | |
Authorized official | Fraser, Gordon Cleland Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 10th, 2007 |
Last updated | May 2nd, 2016 - about 9 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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