Active NPIOrganization

Affordable Dentist Of Snellville Ga, LLC

Dentist in Snellville, Georgia

NPI Number1184095374
Practice location
2138 Scenic Hwy N, Ste D, Snellville, GA 30078-6106
Fax
—
Last updated
October 13, 2015

Affordable Dentist Of Snellville Ga, LLC is a healthcare organization based in Snellville, GA. Affordable Dentist Of Snellville Ga, LLC practices in Snellville, GA. The NPI Number for Affordable Dentist Of Snellville Ga, LLC is 1184095374 and holds a License No. DN010714 (GA). The current practice location address for Affordable Dentist Of Snellville Ga, LLC is 2138 Scenic Hwy N, Ste D, Snellville, GA 30078-6106 and can be reached out via phone at 770-985-2325.

Provider Profile Details

NPI Number
1184095374
Provider Name
Affordable Dentist Of Snellville Ga, LLC
Provider Entity Type
Organization
Address
2138 Scenic Hwy N, Ste D, Snellville, GA 30078-6106
Phone Number
770-985-2325
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Mr. David Vickers, DMD · Owner · 912-383-5784
Other Names
Snellville Family Dental (Doing Business As)
Provider Enumeration Date
October 13, 2015
Last Update Date
October 13, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
2138 Scenic Hwy N
Ste D
Snellville, GA 30078-6106
State
Georgia
Zip
30078-6106
Phone Number
770-985-2325
Snellville, GA 30078Get directions →

Provider Business Mailing Address Details

Address
Po Box 191363
Atlanta, GA 31119-1363
City
Atlanta
State
GA
Zip
31119-1363

License Information

License Number
DN010714
License State
GA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Affordable Dentist Of Snellville Ga, LLC?

The NPI number of Affordable Dentist Of Snellville Ga, LLC is 1184095374. It was assigned on October 13, 2015 and is currently active in the NPPES registry.

What is the specialty of Affordable Dentist Of Snellville Ga, LLC?

Affordable Dentist Of Snellville Ga, LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in GA under license number DN010714.

Where does Affordable Dentist Of Snellville Ga, LLC practice?

The practice location is 2138 Scenic Hwy N, Ste D, Snellville, GA 30078-6106. The office can be reached at 770-985-2325 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184095374 directly on the NPPES registry website.

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