| Dentistry For Children Of Cumming I, Llc | |
|
5071 Post Rd Ste 304 Cumming GA 30040-5442 | |
| (678) 679-7491 | |
| (678) 679-7495 |
| Full Name | Dentistry For Children Of Cumming I, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5071 Post Rd Ste 304, Cumming, Georgia |
| Authorized Official Name and Position | Charles Coulter (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7704731350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children Of Cumming I, Llc 295 Country Club Dr Stockbridge GA 30281-7350 Ph: (770) 473-1350 | Dentistry For Children Of Cumming I, Llc 5071 Post Rd Ste 304 Cumming GA 30040-5442 Ph: (678) 679-7491 |
| NPI Number | 1700187549 |
|---|---|
| Provider Enumeration Date | 11/10/2010 |
| Last Update Date | 11/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700187549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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