institution
Wonderland Pediatric Dentistry
Pediatric Dentist in Roswell, Georgia
NPI 1871995506

Wonderland Pediatric Dentistry is a Pediatric Dentist based in Roswell, GA and is specialized in Pediatric Dentistry. Wonderland Pediatric Dentistry practices in Roswell, GA. The NPI Number for Wonderland Pediatric Dentistry is 1871995506 and holds a License No. DN014759 (Georgia).

The current practice location address for Wonderland Pediatric Dentistry is 1570 Old Alabama Rd Ste 104, Roswell, GA and can be reached out via phone at 678-878-3711 and via fax at 678-878-3714. You can also correspond with Wonderland Pediatric Dentistry through the mailing address at 1570 OLD ALABAMA RD STE 104, ROSWELL, GA - 30076-2108 (mailing address contact number: 678-878-3711).

Location: 1570 Old Alabama Rd Ste 104, Roswell, GA, 30076-2108
institution
Provider Profile Details
NPI Number
1871995506
Provider Name
Wonderland Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
1570 Old Alabama Rd Ste 104, Roswell, GA, 30076-2108
Phone Number
678-878-3711
Fax Number
678-878-3714
Provider Enumeration Date
09/25/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003146415 05 GA
institution
Provider Business Practice Location Address Details
Address
1570 Old Alabama Rd Ste 104
City
State
Zip
30076-2108
Phone Number
678-878-3711
Fax Number
678-878-3714
person
Provider Business Mailing Address Details
Address
1570 Old Alabama Rd Ste 104
City
State
Zip
30076-2108
Phone Number
678-878-3711
Fax Number
678-878-3714
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
DN014759 (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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