Tara Blvd Family Dentistry is a Dental Clinic in Jonesboro, Georgia. It is located at 772 North Ave, Jonesboro, GA and its contact number is 770-892-5328. The authorized person for Tara Blvd Family Dentistry is Dr. Behnam Yavari
who is Owner of the clinic and their contact number is 770-892-5328. The primary license number for Tara Blvd Family Dentistry is DN014345 (General Practice) in Georgia. Tara Blvd Family Dentistry 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:
Tara Blvd Family Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Tara Blvd Family Dentistry
Specialization:
General Practice Dentistry
Clinic Address:
772 North Ave, Jonesboro, Georgia, 30236-2226
Phone:
770-892-5328
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:
Dr. Behnam Yavari
Position:
Owner
Contact Number:
770-892-5328
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 Tara Blvd Family Dentistry clinic are as mentioned below.
NPI Number:
1306275474
NPI Enumeration Date:
08 Nov, 2013
NPI Last Update On:
08 Nov, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tara Blvd Family Dentistry are as mentioned below.
Specialization
License Number
State
Status
General Practice
DN014345
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
003136315A
Medicaid
Georgia
1235416256
Other
Georgia
Individual Npi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Tara Blvd Family Dentistry 772 North Ave, Jonesboro, Georgia
Zip:
30236-2226
Phone Number:
770-892-5328
Patients can reach Tara Blvd Family Dentistry at 772 North Ave, Jonesboro, Georgia or can call to book an appointment on 770-892-5328. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.