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Michael Shawn Mcmoran
Pediatric Dentist in Cumming, Georgia
NPI 1538276597

Michael Shawn Mcmoran is a Pediatric Dentist based in Cumming, GA and is specialized in Pediatric Dentistry. Michael Shawn Mcmoran practices in Cumming, GA. The NPI Number for Michael Shawn Mcmoran is 1538276597 and holds a License No. 3235 (Georgia).

The current practice location address for Michael Shawn Mcmoran is 5830 Bond St, Cumming, GA and can be reached out via phone at 404-520-3223.

Location: 5830 Bond St, Cumming, GA, 30040-0307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538276597
Provider Name
Michael Shawn Mcmoran
Credential
Provider Entity Type
Individual
Gender
Male
Address
5830 Bond St, Cumming, GA, 30040-0307
Phone Number
404-520-3223
Fax Number
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
154921608 05 AR
institution
Provider Business Practice Location Address Details
Address
5830 Bond St
City
Cumming
State
Georgia
Zip
30040-0307
Phone Number
404-520-3223
Fax Number
person
Provider Business Mailing Address Details
Address
5830 Bond St
City
Cumming
State
Georgia
Zip
30040-0307
Phone Number
404-520-3223
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
3235 (Arkansas)
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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