LOGANVILLE DENTIST OFFICE
NPI 1336693506
Dentist - General Practice in Loganville, GA

NPI Status: Active since August 05, 2016

Contact Information

4799 ATLANTA HWY
SUITE 520
LOGANVILLE, GA
ZIP 30052
Phone: (404) 720-6097
Fax: (404) 609-2675

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About LOGANVILLE DENTIST OFFICE

This page provides the complete NPI Profile along with additional information for Loganville Dentist Office, a provider established in Loganville, Georgia operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1336693506 assigned on August 2016. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Loganville Dentist Office operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Loganville Dentist Office. The authorized official of this NPI record is Dr. Katie L Mccann Dds (Owner)

NPI
1336693506
Provider Legal Name
LOGANVILLE DENTIST OFFICE, PC
Other Organization Name
LOGANVILLE DENTIST OFFICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4799 ATLANTA HWY SUITE 520 LOGANVILLE, GA 30052
Location Phone
(404) 720-6097
Location Fax
(404) 609-2675
Mailing Address
17000 RED HILL AVE IRVINE, CA 92614
Mailing Phone
(714) 845-8890
Mailing Fax
(404) 609-2675
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2016
Last Update Date
08-05-2016
Code Navigator

A dentist like Loganville Dentist Office is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Humana Dental Smart Choice - PPO
  • Humana Dental Smart Choice - High - PPO
  • Humana Dental Smart Choice - Lite - PPO
  • Humana Dental Smart Choice - Low - PPO
  • Humana Dental Smart Choice Basic - PPO
  • Humana Dental Smart Choice- Lite - PPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KATIE L MCCANN DDS

Authorized Official Title
OWNER
Authorized Official Phone
(404) 720-6097

Reviews for LOGANVILLE DENTIST OFFICE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336693506
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366129650
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 2 + 9 + 6 + 5 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1336693506 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

DR. MAHAM RIZVI DMD

Dentist

(General Practice)

4799 ATLANTA HWY
LOGANVILLE, GA
ZIP 30052

(404) 720-6097

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336693506, enumerated as an "organization" on August 05, 2016.

The provider is located at 4799 ATLANTA HWY SUITE 520 LOGANVILLE, GA 30052 and the phone number is (404) 720-6097.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.