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Paul Ivey Nettles Llc
Pediatric Dentist in College Park, Georgia
NPI 1063564078

Paul Ivey Nettles Llc is a Pediatric Dentist based in Alpharetta, GA and is specialized in Pediatric Dentistry. Paul Ivey Nettles Llc practices in College Park, GA. The NPI Number for Paul Ivey Nettles Llc is 1063564078 and holds a License No. 11589 (Georgia).

The current practice location address for Paul Ivey Nettles Llc is 1177 Garden Walk Blvd, College Park, GA and can be reached out via phone at 770-997-9090.

Location: 1177 Garden Walk Blvd, College Park, GA, 30005-3755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063564078
Provider Name
Paul Ivey Nettles Llc
Credential
Provider Entity Type
Organization
Address
1177 Garden Walk Blvd, College Park, GA, 30005-3755
Phone Number
770-997-9090
Fax Number
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0050949A 05 GA
institution
Provider Business Practice Location Address Details
Address
1177 Garden Walk Blvd
City
College Park
State
Georgia
Zip
30349-6245
Phone Number
770-997-9090
Fax Number
person
Provider Business Mailing Address Details
Address
1177 Garden Walk Blvd
City
College Park
State
Georgia
Zip
30349-6245
Phone Number
770-997-9090
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6742 (Georgia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
11589 (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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