Plavnik, Inessa L
Plavnik, Inessa L is an individual health care provider with primary practice located at 1410 Terrell Mill Rd , Marietta GA 30067. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Plavnik, Inessa L can be contacted via phone (770) 984-9000.Contact Information
Primary practice address
1410 Terrell Mill Rd
Marietta GA 30067
Phone: (770) 984-9000
Fax: (770) 984-9256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN012811 | Georgia |
| Dental Providers / Dentist | 122300000X | 12811 | Georgia |
Profile Details
| NPI number | 1184771198 |
|---|---|
| LBN Legal business name | Plavnik, Inessa L |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Aug 21st, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184771198 | NPPES |
| Georgia | MEDICAID | 685791298C |
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