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FAMILY DENTISTRY OF MARIETTA LLC NPI 1972837318


NPI Information

NPI: 1972837318
Provider Name: FAMILY DENTISTRY OF MARIETTA, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2125 POST OAK TRITT RD
MARIETTA, GA
ZIP 30062
Phone: (770) 977-9090
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FAMILY DENTISTRY OF MARIETTA, LLC 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. FAMILY DENTISTRY OF MARIETTA, LLC NPI is 1972837318. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2125 POST OAK TRITT RD
MARIETTA, GA
ZIP 30062-609
Phone: (770) 977-9090

The provider's authorized official is Logan V Gordon .
The authorized official title is Business Manager and has the following contact phone number (770) 977-9090.

The enumeration date for this NPI number is 10/1/2009 and was last updated on 10/1/2009.


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 PracticeDN012338GEORGIAYes

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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