LOCAL DENTAL PARTNERS LLC NPI 1942738901

NPI Information

NPI: 1942738901
Provider Name: LOCAL DENTAL PARTNERS, LLC

Doing Business As: WALTON CENTER FOR FAMILY DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4353 ATLANTA HIGHWAY SUITE. 300
LOGANVILLE, GA
ZIP 30052
Phone: (770) 405-2030
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LOCAL DENTAL PARTNERS, LLC is a dental clinic center in Loganville, GA. LOCAL DENTAL PARTNERS, LLC NPI is 1942738901. The provider is registered as an organization entity type.
The provider Is Doing Business As Walton Center For Family Dentistry.

The provider's business location address is:

4353 ATLANTA HIGHWAY SUITE. 300
LOGANVILLE, GA
ZIP 30052
Phone: (770) 405-2030

The provider's authorized official is Ashley Nichelle Thomas .
The authorized official title is Credentialing Administrator and has the following contact phone number (770) 450-2030.

The enumeration date for this NPI number is 6/2/2017 and was last updated on 7/14/2017.

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	261QD0000X	Clinic/Center	Dental	DN013645	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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