Statesboro Pediatric Dentistry, Llc

LBN: Statesboro Pediatric Dentistry, Llc
Statesboro Pediatric Dentistry, Llc is an health care organization with primary practice located at 613 E Grady St , Statesboro GA 30458-5104. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Statesboro Pediatric Dentistry, Llc can be contacted via phone (478) 456-5907, or through Patel, Anjali Puri via phone (478) 456-5907.

Contact Information

Primary practice address
613 E Grady St Statesboro GA 30458-5104
Phone: (478) 456-5907
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Patel, Anjali Puri Doctor of Dental Medicine (DMD)
Phone: (478) 456-5907

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1568935286
LBN Legal business name Statesboro Pediatric Dentistry, Llc
DBA Doing business as
Authorized official Patel, Anjali Puri Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2019
Last updated Jan 4th, 2019 - about 5 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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