MITCHELL BRIDGE DENTAL II NPI 1083850150

NPI Information

NPI: 1083850150
Provider Name: MITCHELL BRIDGE DENTAL II
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1171 MITCHELL BRIDGE RD STE A
ATHENS, GA
ZIP 30606
Phone: (706) 548-2651
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MITCHELL BRIDGE DENTAL II is a dental clinic center in Athens, GA. MITCHELL BRIDGE DENTAL II NPI is 1083850150. The provider is registered as an organization entity type.

The provider's business location address is:

1171 MITCHELL BRIDGE RD STE A
ATHENS, GA
ZIP 30606-475
Phone: (706) 548-2651
Fax: (706) 543-1052

The provider's authorized official is Melody Higginbotham .
The authorized official title is Dr and has the following contact phone number (706) 548-2651.

The enumeration date for this NPI number is 12/19/2008 and was last updated on 12/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DN012547	GEORGIA	No
2	261QD0000X	Clinic/Center	Dental	DN010077	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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