Edward J Green Dmd Pc

LBN: Edward J Green Dmd Pc
Edward J Green Dmd Pc is an health care organization with primary practice located at 1505 W Third Avenue Suite B, Albany GA 31707-3647. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Edward J Green Dmd Pc can be contacted via phone (229) 883-3071, or through Green, Edward James via phone (229) 883-3071.

Contact Information

Primary practice address
1505 W Third Avenue Suite B Albany GA 31707-3647
Phone: (229) 883-3071
Fax: (229) 883-5184
Website:
Map and Directions
Authorized official contact:
Name: Green, Edward James DOCTOR OF DENTAL MED
Phone: (229) 883-3071

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN09807 Georgia

Profile Details

NPI number 1770657124
LBN Legal business name Edward J Green Dmd Pc
DBA Doing business as
Authorized official Green, Edward James DOCTOR OF DENTAL MED
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 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 1770657124 NPPES
Georgia MEDICAID 00267044B

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