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AUBURN PERIODONTICS AND IMPLANT DENTISTRY PC NPI 1427429661


NPI Information

NPI: 1427429661
Provider Name: AUBURN PERIODONTICS AND IMPLANT DENTISTRY, PC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

CLIA Number: 01D2193183

Address:
670 N COLLEGE ST STE D
AUBURN, AL
ZIP 36830
Phone: (334) 209-1352
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AUBURN PERIODONTICS AND IMPLANT DENTISTRY, PC is a periodontics dentist in Auburn, AL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. AUBURN PERIODONTICS AND IMPLANT DENTISTRY, PC NPI is 1427429661. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

670 N COLLEGE ST STE D
AUBURN, AL
ZIP 36830-030
Phone: (334) 209-1352

The provider's authorized official is Britany Fabian Matin .
The authorized official title is President/periodontist and has the following contact phone number (334) 444-0571.

The CLIA number assigned to this NPI record is 01D2193183 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2015 and was last updated on 10/14/2015.


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
11223P0300XDentistPeriodontics5961ALABAMAYes

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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