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Charisse L. Caswell, DMD
Pediatric Dentist in Tyrone, Georgia
NPI 1326013921

Charisse L. Caswell is a Pediatric Dentist based in Tyrone, GA and is specialized in Pediatric Dentistry. Charisse L. Caswell practices in Tyrone, GA and has the professional credentials of DMD. The NPI Number for Charisse L. Caswell is 1326013921 and holds a License No. DN013163 (Georgia).

The current practice location address for Charisse L. Caswell is 120 Handley Rd, Tyrone, GA and can be reached out via phone at 770-632-7090 and via fax at 770-632-7075.

Location: 120 Handley Rd, Tyrone, GA, 30290-2177
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326013921
Provider Name
Charisse L. Caswell
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
120 Handley Rd, Tyrone, GA, 30290-2177
Phone Number
770-632-7090
Fax Number
770-632-7075
Provider Enumeration Date
02/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
773054619G 05 GA
773054619H 05 GA
institution
Provider Business Practice Location Address Details
Address
120 Handley Rd
City
Tyrone
State
Georgia
Zip
30290-2177
Phone Number
770-632-7090
Fax Number
770-632-7075
person
Provider Business Mailing Address Details
Address
120 Handley Rd
City
Tyrone
State
Georgia
Zip
30290-2177
Phone Number
770-632-7090
Fax Number
770-632-7075
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN013163 (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.
DN013163 (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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