Family Practice Dental Care Of Statesboro

LBN: Family Practice Dental Care Of Statesboro
Family Practice Dental Care Of Statesboro is an health care organization with primary practice located at 1046 Northside Dr E , Statesboro GA 30458-1002. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Family Practice Dental Care Of Statesboro can be contacted via phone (912) 764-9187, or through Madson, Dale Cyril via phone (912) 764-9187.

Contact Information

Primary practice address
1046 Northside Dr E Statesboro GA 30458-1002
Phone: (912) 764-9187
Fax: (912) 764-7530
Website:
Map and Directions
Authorized official contact:
Name: Madson, Dale Cyril Doctor of Dental Medicine (DMD)
Phone: (912) 764-9187

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8617 Georgia

Profile Details

NPI number 1558562074
LBN Legal business name Family Practice Dental Care Of Statesboro
DBA Doing business as
Authorized official Madson, Dale Cyril Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
Last updated Oct 23rd, 2014 - about 11 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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