Donerlson-Mccullough Dental Center

LBN: Donerlson-Mccullough Dental Center
Donerlson-Mccullough Dental Center is an health care organization with primary practice located at 2339 Lake Harbin Rd , Morrow GA 30260. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Donerlson-Mccullough Dental Center can be contacted via phone (770) 961-1222, or through Mccullough, Darryal Donerlson via phone (770) 961-1222.

Contact Information

Primary practice address
2339 Lake Harbin Rd Morrow GA 30260
Fax:
Website:
Authorized official contact:
Name: Mccullough, Darryal Donerlson Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10775 Georgia

Profile Details

NPI number 1871687624
LBN Legal business name Donerlson-Mccullough Dental Center
DBA Doing business as
Authorized official Mccullough, Darryal Donerlson Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 22nd, 2020 - about 5 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 1871687624 NPPES
Georgia Other 39154 AVESIS
Georgia Other 1312005 AVESIS
Georgia Other 167133 AVESIS

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