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COSMETIC AND RESTORATIVE DENTISTRY NPI 1841355336


NPI Information

NPI: 1841355336
Provider Name: COSMETIC AND RESTORATIVE DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1175 OGLETHORPE AVE
ATHENS, GA
ZIP 30606
Phone: (706) 227-2502
Get Directions

COSMETIC AND RESTORATIVE DENTISTRY is a general practice dentist in Athens, 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. COSMETIC AND RESTORATIVE DENTISTRY NPI is 1841355336. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1175 OGLETHORPE AVE
ATHENS, GA
ZIP 30606-129
Phone: (706) 227-2502
Fax: (706) 227-0207

The provider's authorized official is Rosanna Masciadri .
The authorized official title is Owner and has the following contact phone number (706) 227-2502.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral PracticeBM3609596GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100723401AMEDICAIDGEORGIA
2983777OTHERGEORGIAUNITED CONCORDIA

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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