| Covenant Childrens Dental Care Center | |
|
7446 Covington Hwy Lithonia GA 30058-7612 | |
| (770) 323-1280 | |
| (770) 323-8622 |
| Full Name | Covenant Childrens Dental Care Center |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7446 Covington Hwy, Lithonia, Georgia |
| Authorized Official Name and Position | Carolyn W. Williams (CEO) |
| Authorized Official Contact | 7703231280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Childrens Dental Care Center 7446 Covington Hwy Lithonia GA 30058-7612 Ph: (770) 323-1280 | Covenant Childrens Dental Care Center 7446 Covington Hwy Lithonia GA 30058-7612 Ph: (770) 323-1280 |
| NPI Number | 1376797829 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 02/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376797829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN011370 (Georgia) | Primary |
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