| Pediatric Dentistry Of Forsyth | |
|
3810 Windemere Parkway Ste 502 Cumming GA 30041 | |
| (404) 316-0588 | |
| Not Available |
| Full Name | Pediatric Dentistry Of Forsyth |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3810 Windemere Parkway, Cumming, Georgia |
| Authorized Official Name and Position | Jason Neil Bongiovi (PRESIDENT) |
| Authorized Official Contact | 4043160588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Forsyth 18 Vernon Glen Ct Atlanta GA 30338-5420 Ph: (404) 316-0588 | Pediatric Dentistry Of Forsyth 3810 Windemere Parkway Ste 502 Cumming GA 30041 Ph: (404) 316-0588 |
| NPI Number | 1356580633 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 02/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356580633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN013085 (Georgia) | Primary |
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