| Peachtree Children's Dentistry Bethlehem | |
|
916 Loganville Hwy Bethlehem GA 30620-2144 | |
| (770) 867-5437 | |
| (770) 307-4115 |
| Full Name | Peachtree Children's Dentistry Bethlehem |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 916 Loganville Hwy, Bethlehem, Georgia |
| Authorized Official Name and Position | Tamara M Cox (OFFICE MANAGER) |
| Authorized Official Contact | 7709796400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachtree Children's Dentistry Bethlehem 916 Loganville Hwy Bethlehem GA 30620-2144 Ph: (770) 867-5437 | Peachtree Children's Dentistry Bethlehem 916 Loganville Hwy Bethlehem GA 30620-2144 Ph: (770) 867-5437 |
| NPI Number | 1447698717 |
|---|---|
| Provider Enumeration Date | 06/10/2013 |
| Last Update Date | 06/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447698717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN012519 (Georgia) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | DN012595 (Georgia) | Secondary |
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