Youth Dentistry Of Macon, Pc

LBN: Youth Dentistry Of Macon, Pc
Youth Dentistry Of Macon, Pc is an health care organization with primary practice located at 1536 Eisenhower Pkwy , Macon GA 31206-3130. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Youth Dentistry Of Macon, Pc can be contacted via phone (478) 781-4333, or through Zoeller, Linda S via phone (478) 781-4333.

Contact Information

Primary practice address
1536 Eisenhower Pkwy Macon GA 31206-3130
Phone: (478) 781-4333
Fax: (478) 781-4331
Website:
Map and Directions
Authorized official contact:
Name: Zoeller, Linda S
Phone: (478) 781-4333

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1851366462
LBN Legal business name Youth Dentistry Of Macon, Pc
DBA Doing business as
Authorized official Zoeller, Linda S
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2006
Last updated Sep 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851366462 NPPES
Georgia Other 1905601 UNITED CONCORDIA
Georgia MEDICAID 478300670A UNITED CONCORDIA
Georgia Other 539109 UNITED CONCORDIA

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