Paul Ivey Nettles Llc

Dental Clinic

 
1177 Garden Walk Blvd, College Park
    Georgia, 30349-6245

 770-997-9090    Maps & Directions
Paul Ivey Nettles Llc is a Dental Clinic in College Park, Georgia. It is located at 1177 Garden Walk Blvd, College Park, GA and its contact number is 770-997-9090. The authorized person for Paul Ivey Nettles Llc is Paul I Nettles who is President of the clinic and their contact number is 770-997-9090. Other organizations associated with this clinic are Paul Ivey Nettles Llc, Vivid Smile Dental Center, The primary license number for Paul Ivey Nettles Llc is 6742 (Pediatric Dentistry) in Georgia.
Paul Ivey Nettles Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Paul Ivey Nettles Llc Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointments.
Name: Paul Ivey Nettles Llc
Specialization: General Practice Dentistry
Clinic Address:1177 Garden Walk Blvd, College Park,
Georgia, 30349-6245
Phone:770-997-9090
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name: Paul I Nettles
Position: President
Contact Number: 770-997-9090
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Paul Ivey Nettles Llc clinic are as mentioned below.
NPI Number: 1063564078
NPI Enumeration Date: 18 Jan, 2007
NPI Last Update On: 22 Aug, 2020
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization. Speciality of these organizations are also mentioned below.
NameSpecializationNPI Number
Paul Ivey Nettles LlcGeneral Practice Dentistry 1063564078
Vivid Smile Dental CenterGeneral Practice Dentistry 1720383805
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Paul Ivey Nettles Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Pediatric Dentistry 6742GeorgiaPrimary
General Practice 11589GeorgiaSecondary
Pediatric Dentistry 6742GeorgiaSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
0050949AMedicaidGeorgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Paul Ivey Nettles Llc
730 Highmeade Ter,
Alpharetta, Georgia
Zip: 30005-3755
Phone Number: 770-337-0976
Patients can reach Paul Ivey Nettles Llc at 1177 Garden Walk Blvd, College Park, Georgia or can call to book an appointment on 770-997-9090. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.

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