Eaglin Dental Group, Johns Creek
LBN: Eaglin Dental Group, Johns Creek
Eaglin Dental Group, Johns Creek is an health care organization with primary practice located at 6290 Abbotts Bridge Rd Ste 101 , Johns Creek GA 30097-1750. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is the primary health care specialty.
Eaglin Dental Group, Johns Creek can be contacted via phone (770) 418-1777, or through Eaglin, Jason S via phone (770) 418-1777.
Contact Information
Primary practice address
6290 Abbotts Bridge Rd Ste 101
Johns Creek GA 30097-1750
Phone: (770) 418-1777
Fax: (678) 646-5982
Website:
Authorized official contact:
Name: Eaglin, Jason S Doctor of Dental Surgery (DDS)
Phone: (770) 418-1777
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN013169 | Georgia |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN013169 | Georgia |
Profile Details
| NPI number | 1245507292 |
|---|---|
| LBN Legal business name | Eaglin Dental Group, Johns Creek |
| DBA Doing business as | |
| Authorized official | Eaglin, Jason S Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 18th, 2011 |
| Last updated | Nov 18th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245507292 | NPPES |
| Georgia | MEDICAID | 777472578D |
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