FAYETTE DENTAL GROUP PC – NPI #1356810634
Clinic/Center

FAYETTE DENTAL GROUP PC is an AHC clinic located in FAYETTEVILLE, GA. NPPES has assigned the NPI number 1356810634 to FAYETTE DENTAL GROUP PC on November 16, 2018. 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

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 FAYETTE DENTAL GROUP PC below.

NPI Profile for
FAYETTE DENTAL GROUP PC

NPI Number
1356810634
Enumeration Date

(more than 7 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
FAYETTE DENTAL GROUP PC
Primary location
720 W LANIER AVE
FAYETTEVILLE, GA 30214
Phone: (770) 683-2284 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TASH-MARIE CHENEY
COO
Phone: (770) 683-2284
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.