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Paul Dominique, DMD
Pediatric Dentist in Cartersville, Georgia
NPI 1134227705

Paul Dominique is a Pediatric Dentist based in Cartersville, GA and is specialized in Pediatric Dentistry. Paul Dominique practices in Cartersville, GA and has the professional credentials of DMD. The NPI Number for Paul Dominique is 1134227705 and holds a License No. (Georgia).

The current practice location address for Paul Dominique is 16B Felton Pl, Cartersville, GA and can be reached out via phone at 770-382-3536 and via fax at 770-382-1915.

Location: 16B Felton Pl, Cartersville, GA, 30120-2152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134227705
Provider Name
Paul Dominique
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
16B Felton Pl, Cartersville, GA, 30120-2152
Phone Number
770-382-3536
Fax Number
770-382-1915
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
16B Felton Pl
City
Cartersville
State
Georgia
Zip
30120-2152
Phone Number
770-382-3536
Fax Number
770-382-1915
person
Provider Business Mailing Address Details
Address
16B Felton Pl
City
Cartersville
State
Georgia
Zip
30120-2152
Phone Number
770-382-3536
Fax Number
770-382-1915
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN013383 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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