| My Kids' Dentists | |
|
205 Hawkins Store Rd Nw Suite 100 Kennesaw GA 30144-6215 | |
| (770) 926-3400 | |
| (770) 926-6317 |
| Full Name | My Kids' Dentists |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 205 Hawkins Store Rd Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Michael Morceau (CFO, VP) |
| Authorized Official Contact | 7709263400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Kids' Dentists 205 Hawkins Store Rd Nw Suite 100 Kennesaw GA 30144-6215 Ph: (770) 926-3400 | My Kids' Dentists 205 Hawkins Store Rd Nw Suite 100 Kennesaw GA 30144-6215 Ph: (770) 926-3400 |
| NPI Number | 1164687612 |
|---|---|
| Provider Enumeration Date | 07/24/2008 |
| Last Update Date | 07/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164687612 | NPI | - | NPPES |
| 00349423C | Medicaid | GA | |
| 00896629D | Medicaid | GA | |
| 000157924B | Medicaid | GA |
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