East Atlanta Family Dental

LBN: Smdentalpc
East Atlanta Family Dental is an health care organization with primary practice located at 440 Flat Shoals Ave Se , Atlanta GA 30316-1915. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Smdentalpc can be contacted via phone (404) 688-2223, or through Meshkian, Shervin via phone (404) 688-2223.

Contact Information

Primary practice address
440 Flat Shoals Ave Se Atlanta GA 30316-1915
Phone: (404) 688-2223
Fax: (404) 688-6602
Website:
Map and Directions
Authorized official contact:
Name: Meshkian, Shervin Doctor of Dental Surgery (DDS)
Phone: (404) 688-2223

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X DN012987 Georgia

Profile Details

NPI number 1649678921
LBN Legal business name Smdentalpc
DBA Doing business as East Atlanta Family Dental
Authorized official Meshkian, Shervin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2014
Last updated Dec 18th, 2014 - 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 1649678921 NPPES
Georgia MEDICAID 003147751B

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