Savannah Smiles Youth Dentistry, Pc

LBN: Savannah Smiles Youth Dentistry, Pc
Savannah Smiles Youth Dentistry, Pc is an health care organization with primary practice located at 2127 E Victory Dr Suite #2, Savannah GA 31404-3917. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Savannah Smiles Youth Dentistry, Pc can be contacted via phone (912) 443-6013, or through Stump, Jenell via phone (912) 443-6013.

Contact Information

Primary practice address
2127 E Victory Dr Suite #2 Savannah GA 31404-3917
Phone: (912) 443-6013
Fax: (912) 443-6014
Website:
Map and Directions
Authorized official contact:
Name: Stump, Jenell
Phone: (912) 443-6013

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1841265451
LBN Legal business name Savannah Smiles Youth Dentistry, Pc
DBA Doing business as
Authorized official Stump, Jenell
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2006
Last updated Mar 26th, 2015 - about 10 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 1841265451 NPPES
Georgia Other 539121 AVESIS
Georgia MEDICAID ZAG977 AVESIS
Georgia Other 1888552 AVESIS
Georgia MEDICAID 401680528A AVESIS

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