Provider Demographics
NPI:1548417314
Name:BYRD DENTAL GROUP AT NORTH POINT, P.C.
Entity Type:Organization
Organization Name:BYRD DENTAL GROUP AT NORTH POINT, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:770-777-0911
Mailing Address - Street 1:4000 N POINT PKWY
Mailing Address - Street 2:SUITE 500-600
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-8801
Mailing Address - Country:US
Mailing Address - Phone:770-777-0911
Mailing Address - Fax:
Practice Address - Street 1:4000 N POINT PKWY
Practice Address - Street 2:SUITE 500-600
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-8801
Practice Address - Country:US
Practice Address - Phone:770-777-0911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA-012070122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty