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Dr. Darius William Sanford
Pediatric Dentist in Decatur, Georgia
NPI 1942839410

Darius William Sanford is a Pediatric Dentist based in Mcdonough, GA and is specialized in Pediatric Dentistry. Darius William Sanford practices in Decatur, GA. The NPI Number for Darius William Sanford is 1942839410 and holds a License No. (Georgia).

The current practice location address for Darius William Sanford is 315 W Ponce De Leon Ave, Decatur, GA and can be reached out via phone at 404-381-1840.

Location: 315 W Ponce De Leon Ave, Decatur, GA, 30252-4207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942839410
Provider Name
Darius William Sanford
Credential
Provider Entity Type
Individual
Gender
Male
Address
315 W Ponce De Leon Ave, Decatur, GA, 30252-4207
Phone Number
404-381-1840
Fax Number
Provider Enumeration Date
04/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
315 W Ponce De Leon Ave
City
Decatur
State
Georgia
Zip
30030-2400
Phone Number
404-381-1840
Fax Number
person
Provider Business Mailing Address Details
Address
315 W Ponce De Leon Ave
City
Decatur
State
Georgia
Zip
30030-2400
Phone Number
404-381-1840
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN122527 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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