EAST WEST FAMILY DENTAL – NPI #1245779792
Clinic/Center

EAST WEST FAMILY DENTAL is an AHC clinic located in AUSTELL, GA. NPPES has assigned the NPI number 1245779792 to EAST WEST FAMILY DENTAL on February 16, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EAST WEST FAMILY DENTAL” is a dba name, the actual legal business name for this organization is COLTON DENTAL GROUP. 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

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 EAST WEST FAMILY DENTAL below.

NPI Profile for
COLTON DENTAL GROUP

NPI Number
1245779792
Enumeration Date

(more than 9 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
COLTON DENTAL GROUP
Doing Business As (dba): EAST WEST FAMILY DENTAL
Primary location
2495 EAST-WEST CONNECTOR
STE 60
AUSTELL, GA 30106
Phone: (678) 384-1020 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TERESA TARD
BUSINESS MANAGER
Phone: (678) 384-1020
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)		 GA DN013527

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.