| Kid's Dentistry Of North Georgia | |
|
1207 Sherwood Park Dr Ne Gainesville GA 30501-3444 | |
| (678) 450-7011 | |
| (678) 971-4201 |
| Full Name | Kid's Dentistry Of North Georgia |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1207 Sherwood Park Dr Ne, Gainesville, Georgia |
| Authorized Official Name and Position | Brittany Greene (FINANCE MANAGER) |
| Authorized Official Contact | 6784507011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kid's Dentistry Of North Georgia 1207 Sherwood Park Dr Ne Gainesville GA 30501-3444 Ph: (678) 450-7011 | Kid's Dentistry Of North Georgia 1207 Sherwood Park Dr Ne Gainesville GA 30501-3444 Ph: (678) 450-7011 |
| NPI Number | 1598334906 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 06/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598334906 | NPI | - | NPPES |
| 003175666B | Medicaid | GA | |
| 1790049047 | Other | GA | NPI |
| 1790985620 | Other | GA | NPI |
| 801406612B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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