| Childrens Dental Village, Llc | |
|
9420 Willeo Rd Suite 104 Roswell GA 30075-6772 | |
| (678) 352-8108 | |
| (678) 352-8107 |
| Full Name | Childrens Dental Village, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9420 Willeo Rd, Roswell, Georgia |
| Authorized Official Name and Position | Priya Madhiwala (DENTIST/OWNER) |
| Authorized Official Contact | 6783528108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dental Village, Llc 9420 Willeo Rd Suite 104 Roswell GA 30075-6772 Ph: (678) 352-8108 | Childrens Dental Village, Llc 9420 Willeo Rd Suite 104 Roswell GA 30075-6772 Ph: (678) 352-8108 |
| NPI Number | 1356749964 |
|---|---|
| Provider Enumeration Date | 12/12/2014 |
| Last Update Date | 12/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356749964 | NPI | - | NPPES |
| 1861641698 | Other | GA | INDIVIDUAL NPI |
| 003106680 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN014199 (Georgia) | Primary |
Nathan Cherof Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 426 S Atlanta St Ste 100, Roswell, GA 30075 Phone: 770-248-9215 | |
Smith & Rockefeller, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1178 Grimes Bridge Rd, Ste 100, Roswell, GA 30075 Phone: 770-992-7550 Fax: 770-992-7868 | |
Elisha W Buckley Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 E Crossville Rd Ste 200, Roswell, GA 30075 Phone: 678-524-7364 | |
Wonderland Pediatric Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1570 Old Alabama Rd Ste 104, Roswell, GA 30076 Phone: 678-878-3711 Fax: 678-878-3714 | |
Family Orthodontics Of Rw, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 Etris Rd, Roswell, GA 30075 Phone: 678-445-9191 Fax: 678-445-9173 | |
Todays Dentist, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 685 W Crossville Rd, Roswell, GA 30075 Phone: 770-587-2727 | |
Daniel O'shea Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4648 Woodstock Rd Ste 250, Roswell, GA 30075 Phone: 470-508-0015 |