Hom-Minniti, Petula
Hom-Minniti, Petula is an sole proprietor health care provider with primary practice located at 270 Saint Claire Dr Suite 104, Alpharetta GA 30004-5728. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Hom-Minniti, Petula can be contacted via phone (678) 990-8592.Contact Information
Primary practice address
270 Saint Claire Dr Suite 104
Alpharetta GA 30004-5728
Phone: (678) 990-8592
Fax: (678) 990-8594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN012900 | Georgia |
Profile Details
| NPI number | 1033264742 |
|---|---|
| LBN Legal business name | Hom-Minniti, Petula |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Sep 11th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033264742 | NPPES |
| Georgia | MEDICAID | 9179479 | |
| Georgia | MEDICAID | 100300 | |
| Georgia | Other | 1765417 |
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