Organization
BHAT DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NARAYANA BHAT DMD (OWNER/MEMBER)
(678) 289-2122
Entity
Organization
Contact information
Practice address
590 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-7236
(678) 289-2122
(678) 289-2121
Mailing address
590 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-7236
(678) 289-2122
(678) 289-2121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012939
GA
1223G0001X
General Practice Dentistry
DN012940
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1925468
UNITED CONCORDIA
GA
05
—
757245258A
—
GA
Enumeration date
03/17/2008
Last updated
07/10/2012
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