Fayetteville Pediatric Dentistry

LBN: Fayetteville Pediatric Dentistry
Fayetteville Pediatric Dentistry is an health care organization with primary practice located at 320 N Jeff Davis Dr Suite C, Fayetteville GA 30214-1669. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Fayetteville Pediatric Dentistry can be contacted via phone (770) 651-1000, or through Nath, Vishant via phone (770) 651-1000.

Contact Information

Primary practice address
320 N Jeff Davis Dr Suite C Fayetteville GA 30214-1669
Phone: (770) 651-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nath, Vishant Doctor of Dental Medicine (DMD)
Phone: (770) 651-1000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN013057 Georgia

Profile Details

NPI number 1073056933
LBN Legal business name Fayetteville Pediatric Dentistry
DBA Doing business as
Authorized official Nath, Vishant Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2016
Last updated Nov 28th, 2016 - about 8 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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