Underwood-Hall, Alda Dedies
Underwood-Hall, Alda Dedies is an individual health care provider with primary practice located at 2458 Wesley Chapel Rd , Decatur GA 30035-3423. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Underwood-Hall, Alda Dedies can be contacted via phone (770) 593-4976.Contact Information
Primary practice address
2458 Wesley Chapel Rd
Decatur GA 30035-3423
Phone: (770) 593-4976
Fax: (770) 593-2295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10061 | Georgia |
Profile Details
| NPI number | 1982674289 |
|---|---|
| LBN Legal business name | Underwood-Hall, Alda Dedies |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982674289 | NPPES |
| Georgia | MEDICAID | 00294962B |
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