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WHOLE TREE DENTISTRY PC NPI 1649811597


NPI Information

NPI: 1649811597
Provider Name: WHOLE TREE DENTISTRY, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 11D2199874

Address:
2400A DOUBLE CHURCHES RD
COLUMBUS, GA
ZIP 31909
Phone: (706) 596-1876
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WHOLE TREE DENTISTRY, PC is a dental clinic center in Columbus, GA. WHOLE TREE DENTISTRY, PC NPI is 1649811597. The provider is registered as an organization entity type.

The provider's business location address is:

2400A DOUBLE CHURCHES RD
COLUMBUS, GA
ZIP 31909-741
Phone: (706) 596-1876
Fax: (706) 596-1547

The provider's authorized official is Lisa A Strickland .
The authorized official title is President and has the following contact phone number (706) 596-1876.

The CLIA number assigned to this NPI record is 11D2199874 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2019 and was last updated on 10/2/2019.


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
1261QD0000XClinic/CenterDentalYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.