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AUSTIN SECRIST DMD LLC NPI 1740992551


NPI Information

NPI: 1740992551
Provider Name: AUSTIN SECRIST DMD LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
115 GORDON ST
THOMSON, GA
ZIP 30824
Phone: (706) 595-3462
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AUSTIN SECRIST DMD LLC is a dental clinic center in Thomson, GA. AUSTIN SECRIST DMD LLC NPI is 1740992551. The provider is registered as an organization entity type.

The provider's business location address is:

115 GORDON ST
THOMSON, GA
ZIP 30824-537
Phone: (706) 595-3462

The provider's authorized official is Austin Jeffrey Secrist .
The authorized official title is Dr. and has the following contact phone number (706) 595-3462.

The enumeration date for this NPI number is 12/23/2022 and was last updated on 12/23/2022.


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/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: 5/5/2024

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