Gentle Dental is a Dentist in Clarkston, Georgia. Gentle Dental practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gentle Dental is 1740310630. The last update date is 2020-08-22.
Gentle Dental's current location address is 3595 Hill St., Clarkston, Georgia. You can contact this provider via phone number 4044992216. The mailing address for Gentle Dental is 3595 Hill St., Clarkston, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gentle Dental |
|---|---|
| Address | 3595 Hill St., Clarkston, Georgia |
| Phone Number | 4044992216 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Phan Vanessa |
| Credentials | DMD |
| Telephone Number | 4044992216 |
NPI Number Detail
| NPI Number | 1740310630 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3595 Hill St. |
|---|---|
| City | Clarkston |
| State | Georgia (GA) |
| Post Code | 30021 |
| Phone Number | 4044992216 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN012128 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00882824D | GA | -- |
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What is the unique 10-digit identifier code issued to Gentle Dental by the Centers for Medicare & Medicaid Services?
The Gentle Dental has been assigned the NPI (National Provider Identifier) 1740310630 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Gentle Dental's physical address?
The Gentle Dental is physically located at 3595 Hill St., in the city of Clarkston, GA, with the postal code 30021.
What is Gentle Dental's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gentle Dental's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1740310630 to Gentle Dental?
The Gentle Dental received its 1740310630 assignment from the Centers for Medicare & Medicaid Services on 2007-03-07.
As of what date were the Gentle Dental's details last updated?
The information pertaining to the Gentle Dental, including its address, specialty, and other details, was most recently updated on 2020-08-22.