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R Jason Neil Bongiovi Dmd Pc
Pediatric Dentist in Cumming, Georgia
NPI 1356580633

R Jason Neil Bongiovi Dmd Pc is a Pediatric Dentist based in Atlanta, GA and is specialized in Pediatric Dentistry. R Jason Neil Bongiovi Dmd Pc practices in Cumming, GA. The NPI Number for R Jason Neil Bongiovi Dmd Pc is 1356580633 and holds a License No. DN013085 (Georgia).

The current practice location address for R Jason Neil Bongiovi Dmd Pc is 3810 Windemere Parkway, Cumming, GA and can be reached out via phone at 404-316-0588. You can also correspond with R Jason Neil Bongiovi Dmd Pc through the mailing address at 18 VERNON GLEN CT, ATLANTA, GA - 30338-5420 (mailing address contact number: 404-316-0588).

Location: 3810 Windemere Parkway, Cumming, GA, 30338-5420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356580633
Provider Name
R Jason Neil Bongiovi Dmd Pc
Credential
Provider Entity Type
Organization
Address
3810 Windemere Parkway, Cumming, GA, 30338-5420
Phone Number
404-316-0588
Fax Number
Provider Enumeration Date
02/11/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3810 Windemere Parkway
City
Cumming
State
Georgia
Zip
30041
Phone Number
404-316-0588
Fax Number
person
Provider Business Mailing Address Details
Address
3810 Windemere Parkway
City
Cumming
State
Georgia
Zip
30041
Phone Number
404-316-0588
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN013085 (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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