South Indy Dental, P.C.

LBN: South Indy Dental, P.C.
South Indy Dental, P.C. is an health care organization with primary practice located at 1090 Northchase Pkwy Se Ste. 150, Marietta GA 30067-6405. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. South Indy Dental, P.C. can be contacted via phone (770) 916-5031, or through Quill, Thomas via phone (317) 881-5000.

Contact Information

Primary practice address
1090 Northchase Pkwy Se Ste. 150 Marietta GA 30067-6405
Phone: (770) 916-5031
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Quill, Thomas Doctor of Dental Surgery (DDS)
Phone: (317) 881-5000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1679922470
LBN Legal business name South Indy Dental, P.C.
DBA Doing business as
Authorized official Quill, Thomas Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2016
Last updated Jun 13th, 2016 - about 8 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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