East Crogan Dental Group Pc

LBN: East Crogan Dental Group Pc
East Crogan Dental Group Pc is an health care organization with primary practice located at 168 E Crogan St , Lawrenceville GA 30046-4950. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. East Crogan Dental Group Pc can be contacted via phone (678) 407-2803, or through Saturne, Marie Dominique via phone (678) 407-2803.

Contact Information

Primary practice address
168 E Crogan St Lawrenceville GA 30046-4950
Phone: (678) 407-2803
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Saturne, Marie Dominique Doctor of Dental Medicine (DMD)
Phone: (678) 407-2803

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN013248 Georgia

Profile Details

NPI number 1568841856
LBN Legal business name East Crogan Dental Group Pc
DBA Doing business as
Authorized official Saturne, Marie Dominique Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2015
Last updated May 20th, 2015 - 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 1568841856 NPPES
Georgia MEDICAID 856863952A

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