1134342090 NPI number — CARTERSVILLE FAMILY DENTISTRY, P.C.

Table of content: (NPI 1134342090)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134342090 NPI number — CARTERSVILLE FAMILY DENTISTRY, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARTERSVILLE FAMILY DENTISTRY, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134342090
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
624 N TENNESSEE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARTERSVILLE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30120-2858
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-387-9249
Provider Business Mailing Address Fax Number:
770-387-2285

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
624 N TENNESSEE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARTERSVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30120-2858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-387-9249
Provider Business Practice Location Address Fax Number:
770-387-2285
Provider Enumeration Date:
04/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SLOCUM
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
Authorized Official Title or Position:
DENTIST
Authorized Official Telephone Number:
770-387-9249

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  11266 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1223G0001X , with the licence number: 11289 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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