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Adesegun O Tewogbade, DMD
Pediatric Dentist in Snellville, Georgia
NPI 1952449944

Adesegun O Tewogbade is a Pediatric Dentist based in Snellville, GA and is specialized in Pediatric Dentistry. Adesegun O Tewogbade practices in Snellville, GA and has the professional credentials of DMD. The NPI Number for Adesegun O Tewogbade is 1952449944 and holds a License No. DN013400 (Georgia).

The current practice location address for Adesegun O Tewogbade is 3966 Annistown Rd, Snellville, GA and can be reached out via phone at 770-469-4192 and via fax at 770-469-4195.

Location: 3966 Annistown Rd, Snellville, GA, 30039-6970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952449944
Provider Name
Adesegun O Tewogbade
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3966 Annistown Rd, Snellville, GA, 30039-6970
Phone Number
770-469-4192
Fax Number
770-469-4195
Provider Enumeration Date
02/02/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
3966 Annistown Rd
City
Snellville
State
Georgia
Zip
30039-6970
Phone Number
770-469-4192
Fax Number
770-469-4195
person
Provider Business Mailing Address Details
Address
3966 Annistown Rd
City
Snellville
State
Georgia
Zip
30039-6970
Phone Number
770-469-4192
Fax Number
770-469-4195
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN013400 (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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