Donald A. Bethea, D.D.S., L.L.C.

LBN: Donald A. Bethea, D.D.S., L.L.C.
Donald A. Bethea, D.D.S., L.L.C. is an health care organization with primary practice located at 410 Lister St , Waycross GA 31501-5226. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Donald A. Bethea, D.D.S., L.L.C. can be contacted via phone (912) 285-1218, or through Bethea, Donald Alan via phone (912) 285-1218.

Contact Information

Primary practice address
410 Lister St Waycross GA 31501-5226
Phone: (912) 285-1218
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bethea, Donald Alan Doctor of Dental Surgery (DDS)
Phone: (912) 285-1218

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN011225 Georgia

Profile Details

NPI number 1124432166
LBN Legal business name Donald A. Bethea, D.D.S., L.L.C.
DBA Doing business as
Authorized official Bethea, Donald Alan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2014
Last updated Jun 18th, 2014 - about 10 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 1124432166 NPPES
Georgia MEDICAID 003143408A
Georgia MEDICAID 5440634

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