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Contact Information

ADVANCED DENTAL ASSOCIATES LLC
285 ELM STREET
SUITE 200
CUMMING, GA30040
 Phone: 770-887-2915
 Fax: 770-887-0575
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCED DENTAL ASSOCIATES LLC

NPI Number 1689731457
LBN Legal business name ADVANCED DENTAL ASSOCIATES LLC
Authorized official ROBERT JOINER - (MANAGER TREASURE)
Entity Organization
Organization subpart 1 No
Enumeration date 01/02/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
GA License # 9257
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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