SHURETT DENTAL GROUP PC – NPI #1235117375
Clinic/Center

SHURETT DENTAL GROUP PC is an AHC clinic located in CONYERS, GA. NPPES has assigned the NPI number 1235117375 to SHURETT DENTAL GROUP PC on January 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 17 years ago on Feb 03, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHURETT DENTAL GROUP PC below.

NPI Profile for
SHURETT DENTAL GROUP PC

NPI Number
1235117375
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHURETT DENTAL GROUP PC
Primary location
1816 LAKEFIELD CT
CONYERS, GA 30013
Phone: (770) 860-8760 Fax: (770) 760-1375
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TINA TITSHAW
DIRECTOR OF ADMINISTRATION
Phone: (770) 760-7900
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.