1972711091 NPI number — SPEECH FOR ALL, INC.20

Table of content: CIARA MARIE GERMANO DMD (NPI 1558193383)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972711091 NPI number — SPEECH FOR ALL, INC.20

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPEECH FOR ALL, INC.20
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:
1972711091
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2765 SHURBURNE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALPHARETTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30022-6841
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
678-277-9915
Provider Business Mailing Address Fax Number:
678-277-9915

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2765 SHURBURNE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALPHARETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30022-6841
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-277-9915
Provider Business Practice Location Address Fax Number:
678-277-9915
Provider Enumeration Date:
05/21/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SALADIN
Authorized Official First Name:
NICKOLE
Authorized Official Middle Name:
MICHELLE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
678-277-9915

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  SLP005649 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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