TOWNE LAKE FAMILY DENTISTRY LTD. NPI 1629380191

NPI Information

NPI: 1629380191
Provider Name: TOWNE LAKE FAMILY DENTISTRY, LTD.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
120 N MEDICAL PKWY
BLDG 200, STE 100
WOODSTOCK, GA
ZIP 30189
Phone: (770) 591-7929
Get Directions

TOWNE LAKE FAMILY DENTISTRY, LTD. is a general practice dentist in Woodstock, 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. TOWNE LAKE FAMILY DENTISTRY, LTD. NPI is 1629380191. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

120 N MEDICAL PKWY
BLDG 200, STE 100
WOODSTOCK, GA
ZIP 30189-062
Phone: (770) 591-7929

The provider's authorized official is Ray Morgan .
The authorized official title is Owner and has the following contact phone number (770) 591-7929.

The enumeration date for this NPI number is 7/13/2010 and was last updated on 7/13/2010.

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
1	1223G0001X	Dentist	General Practice	014049	GEORGIA	No
2	1223G0001X	Dentist	General Practice	011800	GEORGIA	No
3	1223G0001X	Dentist	General Practice	10504	GEORGIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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