Provider Demographics
NPI:1326871906
Name:DAPAAH BEMPAH EMPIRE LLC
Entity type:Organization
Organization Name:DAPAAH BEMPAH EMPIRE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GERMAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEMPAH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-703-8941
Mailing Address - Street 1:2144 MLK DR SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30310-1134
Mailing Address - Country:US
Mailing Address - Phone:917-703-8941
Mailing Address - Fax:
Practice Address - Street 1:1424 N EXPRESSWAY # 135
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30223-1753
Practice Address - Country:US
Practice Address - Phone:770-303-2655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental