| All For Kids Dental Group, Llc | |
|
4115 Tate St Ne Covington GA 30014-2554 | |
| (770) 784-7099 | |
| (770) 784-5283 |
| Full Name | All For Kids Dental Group, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4115 Tate St Ne, Covington, Georgia |
| Authorized Official Name and Position | Adrian Miller (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 7707847099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All For Kids Dental Group, Llc 4115 Tate St Ne Covington GA 30014-2554 Ph: (770) 784-7099 | All For Kids Dental Group, Llc 4115 Tate St Ne Covington GA 30014-2554 Ph: (770) 784-7099 |
| NPI Number | 1104250331 |
|---|---|
| Provider Enumeration Date | 08/23/2013 |
| Last Update Date | 08/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104250331 | NPI | - | NPPES |
| 602316299D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN013969 (Georgia) | Primary |
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