DENTISTRY AT HICKORY FLAT PC NPI 1437573748

NPI Information

  • NPI: 1437573748
  • Provider Name: DENTISTRY AT HICKORY FLAT PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: DENTISTRY AT HICKORY FLAT
  • Address: 6199 HICKORY FLAT HWY STE 130
    CANTON, GA
    ZIP 30115
  • Phone: (770) 213-8166

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NPI Details

DENTISTRY AT HICKORY FLAT PC is a general practice dentist in Canton, 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. DENTISTRY AT HICKORY FLAT PC NPI is 1437573748. The provider is registered as an organization entity type.
The provider Is Doing Business As Dentistry At Hickory Flat.

The provider's business location address is:

6199 HICKORY FLAT HWY STE 130
CANTON, GA
ZIP 30115-255
Phone: (770) 213-8166
Fax: (770) 213-8157

The provider's authorized official is Brian Y Lee .
The authorized official title is Dentist/owner and has the following contact phone number (770) 213-8166.

The enumeration date for this NPI number is 2/6/2014 and was last updated on 5/18/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalDN013420GEORGIANo
2261QD0000XClinic/CenterDentalDN013473GEORGIANo
31223G0001XDentistGeneral PracticeYes

What is NPI?

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This page was last updated on: 11/21/2025

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