North Georgia Dental Sedation Center
LBN: North Georgia Dental Sedation Center
North Georgia Dental Sedation Center is an health care organization with primary practice located at 655 Jesse Jewel Pkwy Se Suite E, Gainesville GA 30501. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
North Georgia Dental Sedation Center can be contacted via phone (770) 539-9110, or through Ramos, Mariella via phone (678) 714-7011.
Contact Information
Primary practice address
655 Jesse Jewel Pkwy Se Suite E
Gainesville GA 30501
Phone: (770) 539-9110
Fax: (678) 714-8388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN012082 | Georgia |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN013443 | Georgia |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN008032 | Georgia |
Profile Details
| NPI number | 1194972901 |
|---|---|
| LBN Legal business name | North Georgia Dental Sedation Center |
| DBA Doing business as | |
| Authorized official | Ramos, Mariella |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 22nd, 2008 |
| Last updated | Aug 22nd, 2008 - about 17 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 | 1194972901 | NPPES |
| Georgia | MEDICAID | 000046582Y | |
| Georgia | MEDICAID | 500132139C | |
| Georgia | MEDICAID | 000851727B |
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