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General NPI Number Information
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NPI Number | 1548417314
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Entity Type | Organization
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Legal Business Name | BYRD DENTAL GROUP AT NORTH POINT, P.C.
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Dates
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Enumeration Date | 08/25/2008
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Last Update Date | 10/16/2008
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Provider Practice Location Address
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Address Line | 4000 N POINT PKWY SUITE 500-600
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City | ALPHARETTA
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State | GA
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Zip | 30022-8801
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Country | US
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Telephone | 770-777-0911
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 N POINT PKWY SUITE 500-600
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City | ALPHARETTA
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State | GA
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Zip | 30022-8801
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Country | US
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Telephone | 770-777-0911
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. TIMOTHY NATHAN BYRD
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Credential | DMD
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Telephone | 770-777-0911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | GA-012070
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License Number State | GA
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