Stone Mountain Dental

LBN: Stone Mountain Dental
Stone Mountain Dental is an health care organization with primary practice located at 4813 Rockbridge Rd Ste 26 , Stone Mountain GA 30083-4200. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Stone Mountain Dental can be contacted via phone (404) 292-8383, or through Stevens, Schadale via phone (404) 292-8383.

Contact Information

Primary practice address
4813 Rockbridge Rd Ste 26 Stone Mountain GA 30083-4200
Phone: (404) 292-8383
Fax: (404) 292-8344
Website:
Map and Directions
Authorized official contact:
Name: Stevens, Schadale Doctor of Dental Surgery (DDS)
Phone: (404) 292-8383

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 012150 Georgia

Profile Details

NPI number 1992958722
LBN Legal business name Stone Mountain Dental
DBA Doing business as
Authorized official Stevens, Schadale Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2008
Last updated Oct 24th, 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 1992958722 NPPES
Georgia MEDICAID 00090964A

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