| Dream Pediatric Dentistry And Orthodontics, Llc | |
|
2143 Newnan Crossing Blvd E Ste 100 Newnan GA 30265-2406 | |
| (470) 541-2426 | |
| Not Available |
| Full Name | Dream Pediatric Dentistry And Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2143 Newnan Crossing Blvd E Ste 100, Newnan, Georgia |
| Authorized Official Name and Position | Mallory Dawson (PARTNER) |
| Authorized Official Contact | 4789556125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dream Pediatric Dentistry And Orthodontics, Llc 2143 Newnan Crossing Blvd E Ste 100 Newnan GA 30265-2406 Ph: (470) 541-2426 | Dream Pediatric Dentistry And Orthodontics, Llc 2143 Newnan Crossing Blvd E Ste 100 Newnan GA 30265-2406 Ph: (470) 541-2426 |
| NPI Number | 1003492224 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 03/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003492224 | 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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