Providence Dental Llc

LBN: Providence Dental Llc
Providence Dental Llc is an health care organization with primary practice located at 225 N Macon St , Macon GA 31210-6562. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Providence Dental Llc can be contacted via phone (478) 733-0857, or through Mann, Paul Jason via phone (478) 733-0857.

Contact Information

Primary practice address
225 N Macon St Macon GA 31210-6562
Phone: (478) 733-0857
Fax: (478) 254-5709
Website:
Map and Directions
Authorized official contact:
Name: Mann, Paul Jason Doctor of Dental Medicine (DMD)
Phone: (478) 733-0857

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN013536 Georgia

Profile Details

NPI number 1295189595
LBN Legal business name Providence Dental Llc
DBA Doing business as
Authorized official Mann, Paul Jason Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2016
Last updated Jul 11th, 2024 - about 5 months 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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