SOUTH DEKALB DENTAL CENTER LLC NPI 1386795805

NPI Information

SOUTH DEKALB DENTAL CENTER LLC is a point of service in Decatur, GA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. SOUTH DEKALB DENTAL CENTER LLC NPI is 1386795805. The provider is registered as an organization entity type.

The provider's business location address is:

2853 CANDLER RD
SUITE 101
DECATUR, GA
ZIP 30034-433
Phone: (404) 244-1166
Fax: (404) 244-1191

The provider's authorized official is William Andrew Litton .
The authorized official title is Vice President and has the following contact phone number (678) 879-1177.

The enumeration date for this NPI number is 1/12/2007 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:

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