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Contact Information

HEARTLAND DENTAL CARE OF GEORGIA
3237 SIXES RD
CANTON, GA30114
 Phone: 770-450-1689
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for HEARTLAND DENTAL CARE OF GEORGIA

NPI # 1003233107
LBN Legal business name HEARTLAND DENTAL CARE OF GEORGIA
Authorized official JEAN CORNELL - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/26/2014
Last updated 03/26/2014 - About 12 years ago
Identifiers n/a
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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