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Canton Pediatric Dentistry Pc
Pediatric Dentist in Canton, Georgia
NPI 1437398666

Canton Pediatric Dentistry Pc is a Pediatric Dentist based in Canton, GA and is specialized in Pediatric Dentistry. Canton Pediatric Dentistry Pc practices in Canton, GA. The NPI Number for Canton Pediatric Dentistry Pc is 1437398666 and holds a License No. DN013057 (Georgia).

The current practice location address for Canton Pediatric Dentistry Pc is 3395 Sixes Rd, Canton, GA and can be reached out via phone at 678-763-2600 and via fax at 678-893-0459.

Location: 3395 Sixes Rd, Canton, GA, 30114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437398666
Provider Name
Canton Pediatric Dentistry Pc
Credential
Provider Entity Type
Organization
Address
3395 Sixes Rd, Canton, GA, 30114
Phone Number
678-763-2600
Fax Number
678-893-0459
Provider Enumeration Date
02/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
761564386 05 GA
institution
Provider Business Practice Location Address Details
Address
3395 Sixes Rd
City
Canton
State
Georgia
Zip
30114
Phone Number
678-763-2600
Fax Number
678-893-0459
person
Provider Business Mailing Address Details
Address
3395 Sixes Rd
City
Canton
State
Georgia
Zip
30114
Phone Number
678-763-2600
Fax Number
678-893-0459
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN013057 (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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