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GA SPECIALTY DENTAL SERVICES II PC NPI 1376390005


NPI Information

NPI: 1376390005
Provider Name: GA SPECIALTY DENTAL SERVICES II, PC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1380 PEACHTREE INDUSTRIAL BLVD STE 150
SUWANEE, GA
ZIP 30024
Phone: (770) 614-8914
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GA SPECIALTY DENTAL SERVICES II, PC is a pediatric dentistry dentist in Suwanee, GA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. GA SPECIALTY DENTAL SERVICES II, PC NPI is 1376390005. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1380 PEACHTREE INDUSTRIAL BLVD STE 150
SUWANEE, GA
ZIP 30024-795
Phone: (770) 614-8914

The provider's authorized official is Charlotte Dasch .
The authorized official title is Director Of Cred And Prov Relations and has the following contact phone number (504) 638-0303.

The enumeration date for this NPI number is 5/1/2024 and was last updated on 5/1/2024.


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
11223P0221XDentistPediatric DentistryYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.