Brian a Bain DDS III PC
Organization Active NPI General Practice Dentistry · Villa Rica, GA
NPI 1972967024 · NPPES record last updated Apr 5, 2016
Key facts
- NPI
- 1972967024
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN014278 (GA)
- Legal business name
- BRIAN A BAIN DDS III PC
- Practice address
- 514 W Bankhead Hwy
Suite 600
Villa Rica, GA 30180-1736 - Phone
- (770) 456-2550
- NPI assigned
- Apr 5, 2016
- Organization subpart
- No
Authorized official
- Name
- Brian Alexander Bain, DDS
- Title
- Owner
- Phone
- (770) 258-5516
Practitioners 1
-
Fredric A Moore, D.M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | DN014278 | GA | Yes |
Addresses
Primary practice location
514 W Bankhead Hwy
Suite 600
Villa Rica, GA 30180-1736
Mailing address
429 Mitchell Ave
Bowdon, GA 30108-1405
Phone (770) 258-5516
Other providers in Villa Rica, GA
- Bonnie Kristine Boles
- Yolanda Therese Booker
- James Larry Boss
- Johanna Linnea Bozeman
- Carter Dale Brannon
- Ann Hamilton Brown
- Benita N Brown
- Jacqueline Brown
- Lauren A Brown
- Idris Buke
All providers in Villa Rica, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2016. 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.