East Metro Beautiful Smiles

LBN: Covington Dental Care
East Metro Beautiful Smiles is an health care organization with primary practice located at 4139 Baker Street Suite 15, Covington GA 30014. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Covington Dental Care can be contacted via phone (770) 787-1013, or through Reddy, Anitha R via phone (770) 787-1013.

Contact Information

Primary practice address
4139 Baker Street Suite 15 Covington GA 30014
Phone: (770) 787-1013
Fax: (770) 787-1018
Website:
Map and Directions
Authorized official contact:
Name: Reddy, Anitha R Doctor of Dental Medicine (DMD)
Phone: (770) 787-1013

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN012610 Georgia

Profile Details

NPI number 1356834360
LBN Legal business name Covington Dental Care
DBA Doing business as East Metro Beautiful Smiles
Authorized official Reddy, Anitha R Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2018
Last updated Jun 13th, 2018 - about 7 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 1356834360 NPPES
Georgia MEDICAID 000952465ABCD

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