Muccioli Dental, Pc

LBN: Muccioli Dental, Pc
Muccioli Dental, Pc is an health care organization with primary practice located at 6300 Hospital Pkwy Suite 275, Johns Creek GA 30097-1828. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Prosthodontics. Dental Providers / General Practice is the primary health care specialty. Muccioli Dental, Pc can be contacted via phone (678) 389-9955, or through Muccioli, Randy Earl via phone (678) 389-9955.

Contact Information

Primary practice address
6300 Hospital Pkwy Suite 275 Johns Creek GA 30097-1828
Phone: (678) 389-9955
Fax: (678) 389-9952
Website:
Map and Directions
Authorized official contact:
Name: Muccioli, Randy Earl Doctor of Dental Medicine (DMD)
Phone: (678) 389-9955

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN014378 Georgia
Dental Providers / Prosthodontics 1223P0700X DN014379 Georgia

Profile Details

NPI number 1558796896
LBN Legal business name Muccioli Dental, Pc
DBA Doing business as
Authorized official Muccioli, Randy Earl Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2013
Last updated Sep 5th, 2013 - about 11 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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