Dallas Dental Care, LLC
Organization Active NPI Dentist · Arlington, GA
NPI 1770960759 · NPPES record last updated Apr 29, 2015
Key facts
- NPI
- 1770960759
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 8983 (GA)
- Legal business name
- DALLAS DENTAL CARE, LLC
- Practice address
- 471 Pioneer Rd NW
Arlington, GA 39813-0246 - Phone
- (229) 725-4545
- Fax
- (229) 725-4469
- NPI assigned
- Apr 29, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. John Charles Dallas, D.M.D.
- Title
- Partner/Dentist
- Phone
- (229) 725-4545
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Dallas Dental Care LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 8983 | GA | Yes |
| Dentist |
122300000X | 13565 | GA |
Addresses
Primary practice location
471 Pioneer Rd NW
Arlington, GA 39813-0246
Mailing address
PO Box 246
Arlington, GA 39813-0246
Phone (229) 725-4545
Other providers in Arlington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.