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Pediatric Dental Center Of Georgia
Pediatric Dentist in Tifton, Georgia
NPI 1023321205

Pediatric Dental Center Of Georgia is a Pediatric Dentist based in Tifton, GA and is specialized in Pediatric Dentistry. Pediatric Dental Center Of Georgia practices in Tifton, GA. The NPI Number for Pediatric Dental Center Of Georgia is 1023321205 and holds a License No. DN013788 (Georgia).

The current practice location address for Pediatric Dental Center Of Georgia is 820 Love Ave Ste A, Tifton, GA and can be reached out via phone at 229-238-3787 and via fax at 229-238-2530.

Location: 820 Love Ave Ste A, Tifton, GA, 31794-4000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023321205
Provider Name
Pediatric Dental Center Of Georgia
Credential
Provider Entity Type
Organization
Address
820 Love Ave Ste A, Tifton, GA, 31794-4000
Phone Number
229-238-3787
Fax Number
229-238-2530
Provider Enumeration Date
07/16/2010
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
582837896B 05 GA
institution
Provider Business Practice Location Address Details
Address
820 Love Ave Ste A
City
Tifton
State
Georgia
Zip
31794-4000
Phone Number
229-238-3787
Fax Number
229-238-2530
person
Provider Business Mailing Address Details
Address
820 Love Ave Ste A
City
Tifton
State
Georgia
Zip
31794-4000
Phone Number
229-238-3787
Fax Number
229-238-2530
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN013788 (Georgia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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