Old Milton Dental

LBN: Old Milton Dental
Old Milton Dental is an health care organization with primary practice located at 4165 Old Milton Pkwy Suite 190, Alpharetta GA 30005-4468. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Old Milton Dental can be contacted via phone (678) 624-0370, or through Mazer, Corey J via phone (678) 624-0370.

Contact Information

Primary practice address
4165 Old Milton Pkwy Suite 190 Alpharetta GA 30005-4468
Fax: (678) 624-0319
Website:
Authorized official contact:
Name: Mazer, Corey J Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 012287 Georgia
Dental Providers / Dentist 122300000X 012301 Georgia

Profile Details

NPI number 1508085671
LBN Legal business name Old Milton Dental
DBA Doing business as
Authorized official Mazer, Corey J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Aug 22nd, 2020 - about 5 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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