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VIDALIA DENTAL ASSOCIATESP.C. NPI 1770685141


NPI Information

NPI: 1770685141
Provider Name: VIDALIA DENTAL ASSOCIATES,P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1618 MEADOWS LANE
VIDALIA, GA
ZIP 30475
Phone: (912) 537-2238
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VIDALIA DENTAL ASSOCIATES,P.C. is a general practice dentist in Vidalia, 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. VIDALIA DENTAL ASSOCIATES,P.C. NPI is 1770685141. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1618 MEADOWS LANE
VIDALIA, GA
ZIP 30475-363
Phone: (912) 537-2238
Fax: (912) 537-0979

The provider's authorized official is Murray F Brown .
The authorized official title is President and has the following contact phone number (912) 537-2238.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 8/22/2020.


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 PracticeDN008330GEORGIAYes

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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