Mustard Seed Pediatric Dentistry, Llc
LBN: Mustard Seed Pediatric Dentistry, Llc
Mustard Seed Pediatric Dentistry, Llc is an health care organization with primary practice located at 1120 Peachtree Industrial Blvd Suite 203 And 204, Suwanee GA 30024-2013. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Mustard Seed Pediatric Dentistry, Llc can be contacted via phone (770) 904-7005, or through Kim, Yoo Mee via phone (770) 904-7005.
Contact Information
Primary practice address
1120 Peachtree Industrial Blvd Suite 203 And 204
Suwanee GA 30024-2013
Phone: (770) 904-7005
Fax: (770) 904-7075
Website:
Authorized official contact:
Name: Kim, Yoo Mee Doctor of Dental Surgery (DDS)
Phone: (770) 904-7005
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN013415 | Georgia |
Profile Details
| NPI number | 1093048563 |
|---|---|
| LBN Legal business name | Mustard Seed Pediatric Dentistry, Llc |
| DBA Doing business as | |
| Authorized official | Kim, Yoo Mee Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 15th, 2009 |
| Last updated | Sep 15th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093048563 | NPPES |
| Georgia | Other | 1255479689 | INDIVIDUAL NPI # |
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