Kimberly A Peters Dmd Pc

LBN: Kimberly A Peters Dmd Pc
Kimberly A Peters Dmd Pc is an health care organization with primary practice located at 1000 Iris Dr Sw Ste A , Conyers GA 30094-6622. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Kimberly A Peters Dmd Pc can be contacted via phone (770) 922-1666, or through Peters, Kimberly via phone (706) 294-3004.

Contact Information

Primary practice address
1000 Iris Dr Sw Ste A Conyers GA 30094-6622
Fax:
Website:
Authorized official contact:
Name: Peters, Kimberly Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1053161372
LBN Legal business name Kimberly A Peters Dmd Pc
DBA Doing business as
Authorized official Peters, Kimberly Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2024
Last updated Mar 27th, 2024 - about 8 months 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 1053161372 NPPES
Georgia Other DN014630 DENTAL LICENSE
Georgia Other 1194166306 DENTAL LICENSE

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