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HINESVILLE FAMILY DENTISTRY P.C. NPI 1407223126


NPI Information

NPI: 1407223126
Provider Name: HINESVILLE FAMILY DENTISTRY, P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 11D2028001

Address:
124 W ML KING JR DR
HINESVILLE, GA
ZIP 31313
Phone: (912) 816-2155
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HINESVILLE FAMILY DENTISTRY, P.C. is a general practice dentist in Hinesville, 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. HINESVILLE FAMILY DENTISTRY, P.C. NPI is 1407223126. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

124 W ML KING JR DR
HINESVILLE, GA
ZIP 31313-226
Phone: (912) 816-2155

The provider's authorized official is Carlos Martinolas .
The authorized official title is President and has the following contact phone number (912) 816-2155.

The CLIA number assigned to this NPI record is 11D2028001 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/28/2015 and was last updated on 12/6/2016.


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
1122300000XDentistNo
21223E0200XDentistEndodonticsNo
31223G0001XDentistGeneral PracticeYes

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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