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Contact Information

AFFORDABLE DENTAL
1143 ASTORIA LN
PEACHTREE CITY, GA30269-6632
 Phone: 770-315-2529
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AFFORDABLE DENTAL

NPI # 1225256639
LBN Legal business name AFFORDABLE DENTAL
Authorized official TERRY MCCULLOCH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2007
Last updated 04/20/2015 - About 11 years ago
Identifiers
GA License # DN010601
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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