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Mini Smiles Pediatric Dentistry, Pc
Pediatric Dentist in Conyers, Georgia
NPI 1184059073

Mini Smiles Pediatric Dentistry, Pc is a Pediatric Dentist based in Conyers, GA and is specialized in Pediatric Dentistry. Mini Smiles Pediatric Dentistry, Pc practices in Conyers, GA. The NPI Number for Mini Smiles Pediatric Dentistry, Pc is 1184059073 and holds a License No. DN013140 (Georgia).

The current practice location address for Mini Smiles Pediatric Dentistry, Pc is 1400 Dogwood Dr Se, Conyers, GA and can be reached out via phone at 770-761-5690 and via fax at 770-761-9750. You can also correspond with Mini Smiles Pediatric Dentistry, Pc through the mailing address at 1400 DOGWOOD DR SE, CONYERS, GA - 30013-5037 (mailing address contact number: 770-761-5690).

Location: 1400 Dogwood Dr Se, Conyers, GA, 30013-5037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184059073
Provider Name
Mini Smiles Pediatric Dentistry, Pc
Credential
Provider Entity Type
Organization
Address
1400 Dogwood Dr Se, Conyers, GA, 30013-5037
Phone Number
770-761-5690
Fax Number
770-761-9750
Provider Enumeration Date
09/10/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376603308 01 TX INDIVIDUAL NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
1400 Dogwood Dr Se
City
Conyers
State
Georgia
Zip
30013-5037
Phone Number
770-761-5690
Fax Number
770-761-9750
person
Provider Business Mailing Address Details
Address
1400 Dogwood Dr Se
City
Conyers
State
Georgia
Zip
30013-5037
Phone Number
770-761-5690
Fax Number
770-761-9750
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN013140 (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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