Life Bridge Dental Ga Llc

LBN: Life Bridge Dental Ga Llc
Life Bridge Dental Ga Llc is an health care organization with primary practice located at 675 Ponce De Leon Ave Ne , Atlanta GA 30308-1884. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is the primary health care specialty. Life Bridge Dental Ga Llc can be contacted via phone (212) 686-3686, or through Sullivan, Kenneth Neil via phone (615) 601-5250.

Contact Information

Primary practice address
675 Ponce De Leon Ave Ne Atlanta GA 30308-1884
Phone: (212) 686-3686
Fax: (615) 468-0325
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Kenneth Neil
Phone: (615) 601-5250

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1609532126
LBN Legal business name Life Bridge Dental Ga Llc
DBA Doing business as
Authorized official Sullivan, Kenneth Neil
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2021
Last updated Nov 9th, 2021 - about 4 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.

Request for update

Popular Providers