| Douglasville Dentistry For Kids | |
|
3387 Highway 5 Douglasville GA 30135-6900 | |
| (678) 813-2388 | |
| Not Available |
| Full Name | Douglasville Dentistry For Kids |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3387 Highway 5, Douglasville, Georgia |
| Authorized Official Name and Position | Nelson K Allen (PEDIATRIC DENTISTRY) |
| Authorized Official Contact | 6788132388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglasville Dentistry For Kids 3387 Highway 5 Douglasville GA 30135-6900 Ph: (678) 813-2388 | Douglasville Dentistry For Kids 3387 Highway 5 Douglasville GA 30135-6900 Ph: (678) 813-2388 |
| NPI Number | 1881006427 |
|---|---|
| Provider Enumeration Date | 06/02/2014 |
| Last Update Date | 06/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881006427 | NPI | - | NPPES |
| 896892351AK | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DNO13148 (Georgia) | Primary |
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