LIFE POINT DENTAL; NPI #1255871992

Contact Information

LIFE POINT DENTAL

660 WASHINGTON ST.
JEFFERSON, GA 30549

Phone: 706-621-5448
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for LIFE POINT DENTAL

NPI Number 1255871992

LBN Legal business name LIFE POINT DENTAL

Authorized official JAMES HERR - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/28/2017

Last updated 02/28/2017 - About 9 years ago

Identifiers

License #

DN014226

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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