Professional Dental Alliance Of Georgia, Llc

LBN: Professional Dental Alliance Of Georgia, Llc
Professional Dental Alliance Of Georgia, Llc is an health care organization with primary practice located at 3466 Cobb Pkwy Nw Ste 170 , Acworth GA 30101-5768. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Professional Dental Alliance Of Georgia, Llc can be contacted via phone (770) 203-1711, or through Matta, Andrew via phone (724) 698-2500.

Contact Information

Primary practice address
3466 Cobb Pkwy Nw Ste 170 Acworth GA 30101-5768
Phone: (770) 203-1711
Fax: (404) 855-4104
Website:
Map and Directions
Authorized official contact:
Name: Matta, Andrew
Phone: (724) 698-2500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN013474 Georgia

Profile Details

NPI number 1861900946
LBN Legal business name Professional Dental Alliance Of Georgia, Llc
DBA Doing business as
Authorized official Matta, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2018
Last updated Mar 17th, 2018 - about 7 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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