Austell Cosmetic Dentistry in Austell - Dentist

Austell Cosmetic Dentistry - NPI 1811186398

Austell Cosmetic Dentistry is a Dentist in Austell, Georgia. Austell Cosmetic Dentistry practices all healthcare services and medical treatments related to Dentist. The NPI Number for Austell Cosmetic Dentistry is 1811186398. The last update date is 2007-10-19.

Austell Cosmetic Dentistry's current location address is 4760 Austell Rd, Austell, Georgia. You can contact this provider via phone number 7709419995. The mailing address for Austell Cosmetic Dentistry is 4760 Austell Rd, Austell, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Austell Cosmetic Dentistry
Address 4760 Austell Rd, Austell, Georgia
Phone Number 7709419995
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Hailey Lee Anisa
Credentials D.M.D.
Telephone Number 7709419995

NPI Number Detail

NPI Number 1811186398
Provider Enumeration Date 2007-10-19
Last Updated Date 2007-10-19

Provider Mailing Address Detail

Address 4760 Austell Rd
City Austell
State Georgia (GA)
Post Code 301062007
Phone Number 7709419995
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DN012026
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Austell Cosmetic Dentistry

What is the unique identifier code issued to Austell Cosmetic Dentistry by the Centers for Medicare & Medicaid Services?

The Austell Cosmetic Dentistry has been assigned the NPI (National Provider Identifier) 1811186398. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Austell Cosmetic Dentistry's physical address?

The Austell Cosmetic Dentistry is physically located at 4760 Austell Rd, in the city of Austell, GA, with the postal code 301062007.

What is Austell Cosmetic Dentistry's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Austell Cosmetic Dentistry is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did the Austell Cosmetic Dentistry receive the assignment of its 1811186398 from the Centers for Medicare & Medicaid Services?

The Austell Cosmetic Dentistry was issued its 1811186398 by the Centers for Medicare & Medicaid Services on 2007-10-19.

As of what date were the details related to Austell Cosmetic Dentistry most recently updated or revised?

The information pertaining to Austell Cosmetic Dentistry, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-19.

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