Dyess Parkway Dental, Llc

LBN: Dyess Parkway Dental, Llc
Dyess Parkway Dental, Llc is an health care organization with primary practice located at 4045 Jimmie Dyess Pkwy Ste 103 , Augusta GA 30909-9492. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dyess Parkway Dental, Llc can be contacted via phone (706) 868-4200, or through Hannan, Fred M via phone (706) 868-4200.

Contact Information

Primary practice address
4045 Jimmie Dyess Pkwy Ste 103 Augusta GA 30909-9492
Phone: (706) 868-4200
Fax: (706) 868-4717
Website:
Map and Directions
Authorized official contact:
Name: Hannan, Fred M Doctor of Dental Surgery (DDS)
Phone: (706) 868-4200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6539 Georgia

Profile Details

NPI number 1275898900
LBN Legal business name Dyess Parkway Dental, Llc
DBA Doing business as
Authorized official Hannan, Fred M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2012
Last updated Jul 9th, 2012 - about 12 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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