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CHOICE ONE DENTAL CARE NPI 1114086477


NPI Information

NPI: 1114086477
Provider Name: CHOICE ONE DENTAL CARE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 11D2107025

Address:
1930 BUFORD MILL DR
SUITE F
BUFORD, GA
ZIP 30519
Phone: (770) 614-4022
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CHOICE ONE DENTAL CARE is a general practice dentist in Buford, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CHOICE ONE DENTAL CARE NPI is 1114086477. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1930 BUFORD MILL DR
SUITE F
BUFORD, GA
ZIP 30519-602
Phone: (770) 614-4022

The provider's authorized official is Michael Eric Foster .
The authorized official title is Dr. and has the following contact phone number (770) 614-4022.

The CLIA number assigned to this NPI record is 11D2107025 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 3/26/2008.


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
11223G0001XDentistGeneral PracticeDN012596GEORGIAYes

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

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