Parkside Dental Practice

LBN: Parkside Dental Practice
Parkside Dental Practice is an health care organization with primary practice located at 410 Stevens Entry , Peachtree City GA 30269. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Parkside Dental Practice can be contacted via phone (770) 487-8882, or through Matlaga Dds Gen Ptr, Stephen L via phone (770) 487-8882.

Contact Information

Primary practice address
410 Stevens Entry Peachtree City GA 30269
Phone: (770) 487-8882
Fax: (770) 486-9469
Website:
Map and Directions
Authorized official contact:
Name: Matlaga Dds Gen Ptr, Stephen L Doctor of Dental Surgery (DDS)
Phone: (770) 487-8882

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X GA8697 Georgia

Profile Details

NPI number 1275634487
LBN Legal business name Parkside Dental Practice
DBA Doing business as
Authorized official Matlaga Dds Gen Ptr, Stephen L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Apr 20th, 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.

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