Organization
MP DENTAL, LLC
Active
Other names
Jefferson Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY CROWE (DIRECTOR OF OPERATIONS)
(770) 297-0401
Entity
Organization
Contact information
Practice address
1679 OLD PENDERGRASS RD, JEFFERSON, GA 30549-2705
(770) 297-0401
Mailing address
1679 OLD PENDERGRASS RD, JEFFERSON, GA 30549-2705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902238926
INDIVIDUAL NPI
—
Enumeration date
01/30/2018
Last updated
01/30/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us