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Contact Information

DENTAL CENTER OF VIDALIA
1209 EAST FIRST STREET
VIDALIA, GA30474
 Phone: 912-537-7048
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DENTAL CENTER OF VIDALIA

NPI Number 1104044056
LBN Legal business name DENTAL CENTER OF VIDALIA
Authorized official ANGIE WALLER - (FINANCIAL COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2007
Last updated 08/22/2020 - About 6 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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