institution
Pediatric Dental Specialist Of Hiram
Pediatric Dentist in Hiram, Georgia
NPI 1245617364

Pediatric Dental Specialist Of Hiram is a Pediatric Dentist based in Hiram, GA and is specialized in Pediatric Dentistry. Pediatric Dental Specialist Of Hiram practices in Hiram, GA. The NPI Number for Pediatric Dental Specialist Of Hiram is 1245617364 and holds a License No. DN013367 (Georgia).

The current practice location address for Pediatric Dental Specialist Of Hiram is 5604 Wendy Bagwell Pkwy, Hiram, GA and can be reached out via phone at 770-943-0011.

Location: 5604 Wendy Bagwell Pkwy, Hiram, GA, 30141-7813
institution
Provider Profile Details
NPI Number
1245617364
Provider Name
Pediatric Dental Specialist Of Hiram
Credential
Provider Entity Type
Organization
Address
5604 Wendy Bagwell Pkwy, Hiram, GA, 30141-7813
Phone Number
770-943-0011
Fax Number
Provider Enumeration Date
04/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5604 Wendy Bagwell Pkwy
City
State
Zip
30141-7813
Phone Number
770-943-0011
Fax Number
person
Provider Business Mailing Address Details
Address
5604 Wendy Bagwell Pkwy
City
State
Zip
30141-7813
Phone Number
770-943-0011
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
DN013367 (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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