| Children's Dental Center, Pc:sedation And Oral Surgery | |
|
1010 N Tennessee St Ste 105 Cartersville GA 30120-8525 | |
| (770) 672-7481 | |
| (770) 382-1915 |
| Full Name | Children's Dental Center, Pc:sedation And Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1010 N Tennessee St, Cartersville, Georgia |
| Authorized Official Name and Position | Jennifer A Cline (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7706727481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental Center, Pc:sedation And Oral Surgery 1010 N Tennessee St Ste 105 Cartersville GA 30120-8525 Ph: (770) 672-7481 | Children's Dental Center, Pc:sedation And Oral Surgery 1010 N Tennessee St Ste 105 Cartersville GA 30120-8525 Ph: (770) 672-7481 |
| NPI Number | 1871963447 |
|---|---|
| Provider Enumeration Date | 09/25/2015 |
| Last Update Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871963447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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