Judge, Lisa Maria Dds Pc

LBN: Judge, Lisa Maria Dds Pc
Judge, Lisa Maria Dds Pc is an health care organization with primary practice located at 1230 Powers Ferry Rd Se Suite #6, Marietta GA 30067-5495. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Judge, Lisa Maria Dds Pc can be contacted via phone (770) 541-0101, or through Judge, Lisa M via phone (770) 541-0101.

Contact Information

Primary practice address
1230 Powers Ferry Rd Se Suite #6 Marietta GA 30067-5495
Phone: (770) 541-0101
Fax: (770) 541-0102
Website:
Map and Directions
Authorized official contact:
Name: Judge, Lisa M Doctor of Dental Surgery (DDS)
Phone: (770) 541-0101

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN011180 Georgia
Dental Providers / General Practice 1223G0001X 4430 Louisiana

Profile Details

NPI number 1811040728
LBN Legal business name Judge, Lisa Maria Dds Pc
DBA Doing business as
Authorized official Judge, Lisa M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Jun 16th, 2008 - about 16 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 1811040728 NPPES
Georgia MEDICAID 00764112B

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