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GEORGIA DENTAL CLINIC P.C. NPI 1306159926


NPI Information

NPI: 1306159926
Provider Name: GEORGIA DENTAL CLINIC, P.C.

Doing Business As: EAST COBB DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2860 JOHNSON FERRY RD
SUITE 100
MARIETTA, GA
ZIP 30062
Phone: (770) 998-5290
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GEORGIA DENTAL CLINIC, P.C. is a general practice dentist in Marietta, 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. GEORGIA DENTAL CLINIC, P.C. NPI is 1306159926. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As East Cobb Dental Care.

The provider's business location address is:

2860 JOHNSON FERRY RD
SUITE 100
MARIETTA, GA
ZIP 30062-339
Phone: (770) 998-5290
Fax: (770) 552-4795

The provider's authorized official is Charles Chung .
The authorized official title is President and has the following contact phone number (770) 998-5290.

The enumeration date for this NPI number is 7/24/2010 and was last updated on 7/24/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDL013756GEORGIAYes

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: 4/28/2024

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