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LIBERTY TRAILS ENDODONTICS LLC NPI 1346644176


NPI Information

NPI: 1346644176
Provider Name: LIBERTY TRAILS ENDODONTICS, LLC

Doing Business As: COASTAL ENDODONTICS

Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
111 E MILLS AVE
HINESVILLE, GA
ZIP 31313
Phone: (912) 463-4405
Get Directions

LIBERTY TRAILS ENDODONTICS, LLC is an endodontics dentist in Hinesville, GA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. LIBERTY TRAILS ENDODONTICS, LLC NPI is 1346644176. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Coastal Endodontics.

The provider's business location address is:

111 E MILLS AVE
HINESVILLE, GA
ZIP 31313-616
Phone: (912) 463-4405
Fax: (912) 463-4939

The provider's authorized official is Christopher Lea .
The authorized official title is Owner and has the following contact phone number (912) 756-5960.

The enumeration date for this NPI number is 10/22/2014 and was last updated on 10/22/2014.


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
11223E0200XDentistEndodonticsDN013079GEORGIAYes

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: 11/14/2023

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