Ping Hai Dds & Associates, P.c. | |
3600 Dallas Hwy Sw Suite 220 Marietta GA 30064-1675 | |
(770) 428-5656 | |
Not Available |
Full Name | Ping Hai Dds & Associates, P.c. |
---|---|
Speciality | Dentist |
Location | 3600 Dallas Hwy Sw, Marietta, Georgia |
Authorized Official Name and Position | Ping Hai (PRESIDENT) |
Authorized Official Contact | 7704285656 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ping Hai Dds & Associates, P.c. 3600 Dallas Hwy Sw Suite 220 Marietta GA 30064-1675 Ph: () - | Ping Hai Dds & Associates, P.c. 3600 Dallas Hwy Sw Suite 220 Marietta GA 30064-1675 Ph: (770) 428-5656 |
NPI Number | 1871699058 |
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Provider Enumeration Date | 09/15/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7416232301 |
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Medicare Enrollment ID | O20170315001619 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871699058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN012663 (Georgia) | Primary |
Provider Name | Ping Hai |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1578669735 PECOS PAC ID: 6406168160 Enrollment ID: I20170317000814 |
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