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Platinum Dental Group Lilburn Llc
Pediatric Dentist in Lilburn, Georgia
NPI 1962634543

Platinum Dental Group Lilburn Llc is a Pediatric Dentist based in Lilburn, GA and is specialized in Pediatric Dentistry. Platinum Dental Group Lilburn Llc practices in Lilburn, GA. The NPI Number for Platinum Dental Group Lilburn Llc is 1962634543 and holds a License No. DN009113 (Georgia).

The current practice location address for Platinum Dental Group Lilburn Llc is 609 Beaver Ruin Rd., Lilburn, GA and can be reached out via phone at 770-709-0000 and via fax at 770-925-3302.

Location: 609 Beaver Ruin Rd., Lilburn, GA, 30048-1953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962634543
Provider Name
Platinum Dental Group Lilburn Llc
Credential
Provider Entity Type
Organization
Address
609 Beaver Ruin Rd., Lilburn, GA, 30048-1953
Phone Number
770-709-0000
Fax Number
770-925-3302
Provider Enumeration Date
08/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
151700972B 05 GA
institution
Provider Business Practice Location Address Details
Address
609 Beaver Ruin Rd.
City
Lilburn
State
Georgia
Zip
30047
Phone Number
770-709-0000
Fax Number
770-925-3302
person
Provider Business Mailing Address Details
Address
609 Beaver Ruin Rd.
City
Lilburn
State
Georgia
Zip
30047
Phone Number
770-709-0000
Fax Number
770-925-3302
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN009113 (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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