| Homegrown Pediatric Dentistry And Orthodontics | |
|
405 Arrowhead Blvd Jonesboro GA 30236-1254 | |
| (770) 471-1991 | |
| Not Available |
| Full Name | Homegrown Pediatric Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 405 Arrowhead Blvd, Jonesboro, Georgia |
| Authorized Official Name and Position | Christina Mckellar (MEMBER/ PEDIATRIC DENTIST) |
| Authorized Official Contact | 3862126669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homegrown Pediatric Dentistry And Orthodontics 1005 Timber Lake Dr Cumming GA 30041-8606 Ph: (386) 212-6669 | Homegrown Pediatric Dentistry And Orthodontics 405 Arrowhead Blvd Jonesboro GA 30236-1254 Ph: (770) 471-1991 |
| NPI Number | 1225402373 |
|---|---|
| Provider Enumeration Date | 11/30/2015 |
| Last Update Date | 11/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225402373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN014531 (Georgia) | Primary |
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