Echols, Justin T

Echols, Justin T is an individual health care provider with primary practice located at 1678 Mulkey Rd Ste D , Austell GA 30106-1147. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Echols, Justin T can be contacted via phone (770) 692-1000.

Contact Information

Primary practice address
1678 Mulkey Rd Ste D Austell GA 30106-1147
Phone: (770) 692-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN014237 Georgia
Dental Providers / Pediatric Dentistry 1223P0221X DN014237 Georgia

Profile Details

NPI number 1386871747
LBN Legal business name Echols, Justin T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2009
Last updated Sep 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386871747 NPPES
Georgia MEDICAID 003116346E

Popular Providers