Vital Smiles Georgia

LBN: Mh Dental Pc
Vital Smiles Georgia is an health care organization with primary practice located at 6000 Singleton Rd Ste 315, Norcross GA 30093. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mh Dental Pc can be contacted via phone (770) 248-9029, or through Walker, Crystal G. via phone (770) 367-8389.

Contact Information

Primary practice address
6000 Singleton Rd Ste 315 Norcross GA 30093
Phone: (770) 248-9029
Fax: (770) 248-9130
Website:
Map and Directions
Authorized official contact:
Name: Walker, Crystal G.
Phone: (770) 367-8389

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1164640801
LBN Legal business name Mh Dental Pc
DBA Doing business as Vital Smiles Georgia
Authorized official Walker, Crystal G.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 24th, 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 1164640801 NPPES
Georgia MEDICAID 714338776B

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