Port City Family Dental Associates in Bainbridge - Dentist
Port City Family Dental Associates - NPI 1417112533
Port City Family Dental Associates is a Dentist in Bainbridge, Georgia. Port City Family Dental Associates practices all healthcare services and medical treatments related to Dentist. The NPI Number for Port City Family Dental Associates is 1417112533. The last update date is 2008-07-29.
Port City Family Dental Associates's current location address is Post Office Box 1307, Bainbridge, Georgia. You can contact this provider via phone number 2292465081 and fax number 2292465011. The mailing address for Port City Family Dental Associates is Post Office Box 1307, Bainbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Port City Family Dental Associates |
|---|---|
| Address | Post Office Box 1307, Bainbridge, Georgia |
| Phone Number | 2292465081 |
| Fax Number | 2292465011 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Rush-Kraft Suzi |
| Telephone Number | 2292465081 |
NPI Number Detail
| NPI Number | 1417112533 |
|---|---|
| Provider Enumeration Date | 2008-07-29 |
| Last Updated Date | 2008-07-29 |
Provider Mailing Address Detail
| Address | Post Office Box 1307 |
|---|---|
| City | Bainbridge |
| State | Georgia (GA) |
| Post Code | 39818 |
| Phone Number | 2292465081 |
| Fax Number | 2292465011 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9222 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 335406129B | GA | -- | |
| 00205927A | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Port City Family Dental Associates by the Centers for Medicare & Medicaid Services?
The Port City Family Dental Associates has been issued the NPI (National Provider Identifier) 1417112533. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Port City Family Dental Associates's facilities are situated?
The facilities of Port City Family Dental Associates are physically located at the following address: Post Office Box 1307, Bainbridge, GA, 39818.
What is Port City Family Dental Associates's specialized field of practice, and what is the corresponding taxonomy classification code?
The Port City Family Dental Associates's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date was the 1417112533 assigned to Port City Family Dental Associates?
The Port City Family Dental Associates was issued its 1417112533 on 2008-07-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Port City Family Dental Associates's information last updated?
The Port City Family Dental Associates's information was last updated on 2008-07-29.
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