Oral An Implant Surgery Specialists, Pc
LBN: Oral An Implant Surgery Specialists, Pc
Oral An Implant Surgery Specialists, Pc is an health care organization with primary practice located at 1260 Highway 54 W Suite 200, Fayetteville GA 30214-4514. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as the primary health care specialty.
Oral An Implant Surgery Specialists, Pc can be contacted via phone (770) 461-2101, or through Johnson, Durwood M via phone (770) 461-2101.
Contact Information
Primary practice address
1260 Highway 54 W Suite 200
Fayetteville GA 30214-4514
Phone: (770) 461-2101
Fax: (770) 460-1292
Website:
Authorized official contact:
Name: Johnson, Durwood M Doctor of Dental Medicine (DMD)
Phone: (770) 461-2101
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 007973 | Georgia |
Profile Details
| NPI number | 1396094074 |
|---|---|
| LBN Legal business name | Oral An Implant Surgery Specialists, Pc |
| DBA Doing business as | |
| Authorized official | Johnson, Durwood M Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 10th, 2012 |
| Last updated | May 10th, 2013 - about 12 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 | 1396094074 | NPPES |
| Georgia | MEDICAID | 000189351B |
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