Radiant Dental

LBN: Radiant Dental
Radiant Dental is an health care organization with primary practice located at 4745 Nelson Brogdon Blvd , Buford GA 30518. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Radiant Dental can be contacted via phone (770) 271-4411, or through Patel, Nimisha via phone (770) 271-4411.

Contact Information

Primary practice address
4745 Nelson Brogdon Blvd Buford GA 30518
Phone: (770) 271-4411
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Patel, Nimisha
Phone: (770) 271-4411

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X DN013402 Georgia

Profile Details

NPI number 1376843078
LBN Legal business name Radiant Dental
DBA Doing business as
Authorized official Patel, Nimisha
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2010
Last updated Oct 27th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376843078 NPPES
Georgia MEDICAID 830482898A

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