Tiffany L Bolen in Decatur - General Practice

Tiffany L Bolen - NPI 1215962659

Tiffany L Bolen is a General Practice in Decatur, Georgia. Tiffany L Bolen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Tiffany L Bolen is 1215962659. The last update date is 2007-07-08.

Tiffany L Bolen's current location address is 755 Commerce Dr Ste 403, Decatur, Georgia. You can contact this provider via phone number 4043771147 and fax number 4043777483. The mailing address for Tiffany L Bolen is 755 Commerce Dr Ste 403, Decatur, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Tiffany L Bolen
Address 755 Commerce Dr Ste 403, Decatur, Georgia
Phone Number 4043771147
Fax Number 4043777483
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1215962659
Provider Enumeration Date 2006-07-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 755 Commerce Dr Ste 403
City Decatur
State Georgia (GA)
Post Code 300302617
Phone Number 4043771147
Fax Number 4043777483

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN012944
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Tiffany L Bolen

What is the unique identification code assigned to Tiffany L Bolen by the Centers for Medicare & Medicaid Services?

The Tiffany L Bolen has been issued the NPI (National Provider Identifier) 1215962659. 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 Tiffany L Bolen's facilities are situated?

The facilities of Tiffany L Bolen are physically located at the following address: 755 Commerce Dr Ste 403, Decatur, GA, 300302617.

What is Tiffany L Bolen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Tiffany L Bolen is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

When did Tiffany L Bolen receive its 1215962659 assignment?

The Tiffany L Bolen was assigned its 1215962659 on 2006-07-12, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Tiffany L Bolen most recently updated or revised?

The details related to Tiffany L Bolen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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