Legacy Pedo Llc

LBN: Legacy Pedo Llc
Legacy Pedo Llc is an health care organization with primary practice located at 3903 Jiles Rd Nw #210, Kennesaw GA 30144-4612. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Legacy Pedo Llc can be contacted via phone (770) 590-9050, or through Reznik, Michael via phone (770) 777-7427.

Contact Information

Primary practice address
3903 Jiles Rd Nw #210 Kennesaw GA 30144-4612
Phone: (770) 590-9050
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reznik, Michael Doctor of Dental Surgery (DDS)
Phone: (770) 777-7427

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1871813295
LBN Legal business name Legacy Pedo Llc
DBA Doing business as
Authorized official Reznik, Michael Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2010
Last updated Jun 8th, 2010 - about 15 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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