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Contact Information

ADVANCE FAMILY DENTAL CARE INC
449 PLEASANT HILL RD
SUITE 101
LILBURN, GA30047
 Phone: 770-564-9906
 Fax: 770-564-9907
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCE FAMILY DENTAL CARE INC

NPI Number 1497857411
LBN Legal business name ADVANCE FAMILY DENTAL CARE INC
Authorized official RANDOLPH GARDNER - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
FL License # DN14123
GA License # DN01162
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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