Woodstock Dental Care Pc

LBN: Kelly A. Vaughn
Woodstock Dental Care Pc is an health care organization with primary practice located at 9020 Highway 92 Suite 120, Woodstock GA 30189-3753. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Kelly A. Vaughn can be contacted via phone (770) 928-4511, or through Falvai, Anita L via phone (770) 928-4511.

Contact Information

Primary practice address
9020 Highway 92 Suite 120 Woodstock GA 30189-3753
Phone: (770) 928-4511
Fax: (770) 928-4310
Website:
Map and Directions
Authorized official contact:
Name: Falvai, Anita L
Phone: (770) 928-4511

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN012608 Georgia

Profile Details

NPI number 1770754426
LBN Legal business name Kelly A. Vaughn
DBA Doing business as Woodstock Dental Care Pc
Authorized official Falvai, Anita L
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2008
Last updated Apr 2nd, 2012 - about 13 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 1770754426 NPPES
Georgia MEDICAID 211792479N

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