Whalio Doctors

NPI 1235593385

Brian a Bain DDS II PC

Organisation General Practice Dentistry Carrollton, GA

Practice location

Address
831 Dixie St, Carrollton, GA 30117-4415
Phone
(770) 832-9668
Fax
(678) 601-1536
Mailing address
429 Mitchell Ave, Bowdon, GA 30108-1405

Authorised official

Name
Brian Alexander Bain
Title
Owner
Phone
(770) 258-5516

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence DN014278 (GA)

Registry record

NPI
1235593385
Entity type
Organization
NPI issued
5 Apr 2016
Record last updated
5 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.