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East Atlanta Pediatric Dentistry Pc
Pediatric Dentist in Atlanta, Georgia
NPI 1740688142

East Atlanta Pediatric Dentistry Pc is a Pediatric Dentist based in Atlanta, GA and is specialized in Pediatric Dentistry. East Atlanta Pediatric Dentistry Pc practices in Atlanta, GA. The NPI Number for East Atlanta Pediatric Dentistry Pc is 1740688142 and holds a License No. DN012645 (Georgia).

The current practice location address for East Atlanta Pediatric Dentistry Pc is 2646 Gresham Rd Se, Atlanta, GA and can be reached out via phone at 404-243-0929 and via fax at 404-243-0928.

Location: 2646 Gresham Rd Se, Atlanta, GA, 30316-4148
institution
Provider Profile Details
NPI Number
1740688142
Provider Name
East Atlanta Pediatric Dentistry Pc
Credential
Provider Entity Type
Organization
Address
2646 Gresham Rd Se, Atlanta, GA, 30316-4148
Phone Number
404-243-0929
Fax Number
404-243-0928
Provider Enumeration Date
12/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1780888693 01 GA NPPES
DN012645 01 GA DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2646 Gresham Rd Se
City
State
Zip
30316-4148
Phone Number
404-243-0929
Fax Number
404-243-0928
person
Provider Business Mailing Address Details
Address
2646 Gresham Rd Se
City
State
Zip
30316-4148
Phone Number
404-243-0929
Fax Number
404-243-0928
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
DN012645 (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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