| Crabapple Ortho And Pedo | |
|
12385 Crabapple Rd Ste 100 Alpharetta GA 30004-6357 | |
| (770) 901-2369 | |
| Not Available |
| Full Name | Crabapple Ortho And Pedo |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 12385 Crabapple Rd Ste 100, Alpharetta, Georgia |
| Authorized Official Name and Position | Jennifer Snow (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4044101340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crabapple Ortho And Pedo 12385 Crabapple Rd Ste 100 Alpharetta GA 30004-6357 Ph: (770) 901-2369 | Crabapple Ortho And Pedo 12385 Crabapple Rd Ste 100 Alpharetta GA 30004-6357 Ph: (770) 901-2369 |
| NPI Number | 1922553676 |
|---|---|
| Provider Enumeration Date | 08/23/2016 |
| Last Update Date | 08/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922553676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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