Peach Dental Care is a Dentist in Clarkston, Georgia. Peach Dental Care practices all healthcare services and medical treatments related to Dentist. The NPI Number for Peach Dental Care is 1942331772. The last update date is 2016-10-18.
Peach Dental Care's current location address is 3596 W Hill St # B, Clarkston, Georgia. You can contact this provider via phone number 7702567555. The mailing address for Peach Dental Care is 3596 W Hill St # B, Clarkston, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peach Dental Care |
|---|---|
| Address | 3596 W Hill St # B, Clarkston, Georgia |
| Phone Number | 7702567555 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DDS |
|---|---|
| Authorized Official Name | Vu Thu |
| Telephone Number | 7702567555 |
NPI Number Detail
| NPI Number | 1942331772 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2016-10-18 |
Provider Mailing Address Detail
| Address | 3596 W Hill St # B |
|---|---|
| City | Clarkston |
| State | Georgia (GA) |
| Post Code | 300211205 |
| Phone Number | 7702567555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN012520 |
|
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 |
|---|---|---|---|
| 518280914A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Peach Dental Care by the Centers for Medicare & Medicaid Services?
The Peach Dental Care has been assigned the NPI (National Provider Identifier) 1942331772. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Peach Dental Care?
The Peach Dental Care is physically situated at 3596 W Hill St # B, in the city of Clarkston, state of GA, with the postal code 300211205.
What is Peach Dental Care's area of expertise and its corresponding taxonomy classification?
The Peach Dental Care's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did Peach Dental Care receive its 1942331772 assignment from the Centers for Medicare & Medicaid Services?
The Peach Dental Care was assigned its 1942331772 on 2007-03-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Peach Dental Care's information last updated?
The Peach Dental Care's information was last updated on 2016-10-18.