| Children And Teen Dental Group | |
|
2119 Hamilton Creek Pkwy Suite 200 Dacula GA 30019-3293 | |
| (770) 744-4581 | |
| Not Available |
| Full Name | Children And Teen Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2119 Hamilton Creek Pkwy, Dacula, Georgia |
| Authorized Official Name and Position | Brian Smith (CFO) |
| Authorized Official Contact | 7702315348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children And Teen Dental Group 2300 Lakeview Pkwy Ste 250 Alpharetta GA 30009-3954 Ph: (470) 207-3264 | Children And Teen Dental Group 2119 Hamilton Creek Pkwy Suite 200 Dacula GA 30019-3293 Ph: (770) 744-4581 |
| NPI Number | 1952764797 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 02/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952764797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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