Valdosta Family Dentistry

LBN: Valdosta Family Dentistry
Valdosta Family Dentistry is an health care organization with primary practice located at 2935 N Ashley St Suite 130, Valdosta GA 31602-1777. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Valdosta Family Dentistry can be contacted via phone (229) 333-8484, or through Tanner, Benjamin F via phone (229) 333-8484.

Contact Information

Primary practice address
2935 N Ashley St Suite 130 Valdosta GA 31602-1777
Phone: (229) 333-8484
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tanner, Benjamin F Doctor of Dental Medicine (DMD)
Phone: (229) 333-8484

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN013182 Georgia

Profile Details

NPI number 1811138258
LBN Legal business name Valdosta Family Dentistry
DBA Doing business as
Authorized official Tanner, Benjamin F Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2009
Last updated Mar 16th, 2009 - about 16 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 1811138258 NPPES
Georgia MEDICAID 827915201A

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