Children And Teen Dental Group | |
2155 Cedarcrest Rd Acworth GA 30101-6274 | |
(770) 439-9119 | |
Not Available |
Full Name | Children And Teen Dental Group |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 2155 Cedarcrest Rd, Acworth, Georgia |
Authorized Official Name and Position | Nicole Caride (CREDENTIALING MANAGER) |
Authorized Official Contact | 7277842721 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Children And Teen Dental Group 2300 Lakeview Pkwy Ste 250 Alpharetta GA 30009-3954 Ph: (727) 784-2721 | Children And Teen Dental Group 2155 Cedarcrest Rd Acworth GA 30101-6274 Ph: (770) 439-9119 |
NPI Number | 1285330035 |
---|---|
Provider Enumeration Date | 02/03/2023 |
Last Update Date | 02/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285330035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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