Parkside Pediatric And Orthodontic Care Inc

LBN: Parkside Pediatric And Orthodontic Care Inc
Parkside Pediatric And Orthodontic Care Inc is an health care organization with primary practice located at 155 Carnegie Pl Ste 201A , Fayetteville GA 30214-3981. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Parkside Pediatric And Orthodontic Care Inc can be contacted via phone (678) 228-4266, or through Russ, Tarvoria via phone (404) 631-7303.

Contact Information

Primary practice address
155 Carnegie Pl Ste 201A Fayetteville GA 30214-3981
Phone: (678) 228-4266
Fax: (404) 521-4120
Website:
Map and Directions
Authorized official contact:
Name: Russ, Tarvoria
Phone: (404) 631-7303

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1366125395
LBN Legal business name Parkside Pediatric And Orthodontic Care Inc
DBA Doing business as
Authorized official Russ, Tarvoria
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2023
Last updated Aug 8th, 2023 - about last year

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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