Mistretta, John Paul
Mistretta, John Paul is an individual health care provider with primary practice located at 99 Jesse Hill Jr Drive , Atlanta GA 30303. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Mistretta, John Paul can be contacted via phone (404) 730-1471.Contact Information
Primary practice address
99 Jesse Hill Jr Drive
Atlanta GA 30303
Phone: (404) 730-1471
Fax: (404) 730-1475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | DN008955 | Georgia |
Profile Details
| NPI number | 1174603013 |
|---|---|
| LBN Legal business name | Mistretta, John Paul |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174603013 | NPPES |
| Georgia | MEDICAID | 00170717R | |
| Georgia | MEDICAID | 00170717K | |
| Georgia | MEDICAID | 00170717E |
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