Vital Smiles Georgia

LBN: Mh Dental P.C.
Vital Smiles Georgia is an health care organization with primary practice located at 1030A West Gordon Ave , Albany GA 31701. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mh Dental P.C. can be contacted via phone (229) 432-9555, or through Walker, Crystal G. via phone (205) 271-6851.

Contact Information

Primary practice address
1030A West Gordon Ave Albany GA 31701
Phone: (229) 432-9555
Fax: (229) 432-0907
Website:
Map and Directions
Authorized official contact:
Name: Walker, Crystal G.
Phone: (205) 271-6851

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Georgia

Profile Details

NPI number 1801941950
LBN Legal business name Mh Dental P.C.
DBA Doing business as Vital Smiles Georgia
Authorized official Walker, Crystal G.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 24th, 2012 - about 12 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 1801941950 NPPES
Georgia MEDICAID 112036
Georgia MEDICAID 714338776A
Georgia Other 1892015
Georgia Other 200075582
Georgia MEDICAID 39888

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