South Hairston Family Dentistry

LBN: South Hairston Family Dentistry
South Hairston Family Dentistry is an health care organization with primary practice located at 1234 S Hairston Rd Suite 23, Stone Mountain GA 30088-2749. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. South Hairston Family Dentistry can be contacted via phone (404) 294-3600, or through Allen, Heather via phone (404) 294-3600.

Contact Information

Primary practice address
1234 S Hairston Rd Suite 23 Stone Mountain GA 30088-2749
Phone: (404) 294-3600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Allen, Heather Doctor of Dental Surgery (DDS)
Phone: (404) 294-3600

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10982 Georgia

Profile Details

NPI number 1598817488
LBN Legal business name South Hairston Family Dentistry
DBA Doing business as
Authorized official Allen, Heather Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Sep 17th, 2008 - about 17 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 1598817488 NPPES
Georgia MEDICAID 00581215A

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