| Cumming Pediatric Dentistry & Orthodontics, Llc | |
|
3275 Market Place Blvd Ste 150 Cumming GA 30041-7980 | |
| (770) 781-8650 | |
| Not Available |
| Full Name | Cumming Pediatric Dentistry & Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3275 Market Place Blvd Ste 150, Cumming, Georgia |
| Authorized Official Name and Position | Linda Monell (BUSINESS MANAGER) |
| Authorized Official Contact | 7707818650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cumming Pediatric Dentistry & Orthodontics, Llc 3275 Market Place Blvd Ste 150 Cumming GA 30041-7980 Ph: () - | Cumming Pediatric Dentistry & Orthodontics, Llc 3275 Market Place Blvd Ste 150 Cumming GA 30041-7980 Ph: (770) 781-8650 |
| NPI Number | 1972010502 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 01/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972010502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 015146 (Georgia) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 011424 (Georgia) | Primary |
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