PARKSIDE DENTAL PRACTICE
NPI 1881017085
Health Maintenance Organization in Peachtree City, GA

Active since January 24, 2014
410 STEVENS ENTRY, PEACHTREE CITY, GA 30269(770) 487-8882(770) 486-9469 Get Directions Write a Review

NPPES record last updated: January 24, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Health Maintenance Organization

About PARKSIDE DENTAL PRACTICE

This page provides the complete NPI Profile along with additional information for Parkside Dental Practice, a provider established in Peachtree City, Georgia operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1881017085 assigned on January 2014. The practitioner's primary taxonomy code is 302R00000X with license number 8697 (GA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Lori Parks (Front Office)

NPI
1881017085 Verify this NPI
Provider Name
PARKSIDE DENTAL PRACTICE
Entity Type
Organization
Location Address
410 STEVENS ENTRY PEACHTREE CITY, GA 30269
Location Phone
(770) 487-8882
Location Fax
(770) 486-9469
Mailing Address
410 STEVENS ENTRY PEACHTREE CITY, GA 30269
Mailing Phone
(770) 487-8882
Mailing Fax
(770) 486-9469
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2014
Last Update Date
01-24-2014
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License No.
8697
License State
GA
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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

LORI PARKS

Authorized Official Title
FRONT OFFICE
Authorized Official Phone
(770) 487-8882

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Public Health or Welfare
410 STEVENS ENTRY
PEACHTREE CITY, GA 30269
Dentist
410 STEVENS ENTRY
PEACHTREE CITY, GA 30269
Dentist (General Practice)
410 STEVENS ENTRY
PEACHTREE CITY, GA 30269
Dentist (General Practice)
410 STEVENS ENTRY
PEACHTREE CITY, GA 30269

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881017085, enumerated as an "organization" on January 24, 2014.

The provider is located at 410 STEVENS ENTRY PEACHTREE CITY, GA 30269 and the phone number is (770) 487-8882.

Health Maintenance Organization with taxonomy code 302R00000X.