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Fayetteville Pediatric Dentistry
Pediatric Dentist in Fayetteville, Georgia
NPI 1073056933

Fayetteville Pediatric Dentistry is a Pediatric Dentist based in Fayetteville, GA and is specialized in Pediatric Dentistry. Fayetteville Pediatric Dentistry practices in Fayetteville, GA. The NPI Number for Fayetteville Pediatric Dentistry is 1073056933 and holds a License No. DN013057 (Georgia).

The current practice location address for Fayetteville Pediatric Dentistry is 320 N Jeff Davis Dr, Fayetteville, GA and can be reached out via phone at 770-651-1000.

Location: 320 N Jeff Davis Dr, Fayetteville, GA, 30214-1669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073056933
Provider Name
Fayetteville Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
320 N Jeff Davis Dr, Fayetteville, GA, 30214-1669
Phone Number
770-651-1000
Fax Number
Provider Enumeration Date
11/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
320 N Jeff Davis Dr
City
Fayetteville
State
Georgia
Zip
30214-1669
Phone Number
770-651-1000
Fax Number
person
Provider Business Mailing Address Details
Address
320 N Jeff Davis Dr
City
Fayetteville
State
Georgia
Zip
30214-1669
Phone Number
770-651-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN013057 (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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